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Gastric Polyps

Marie L Borum, MD, EdD, MPH and Jacob Thomas Newman, D.O. Reviewed 05/2023
 


BASICS

Mucosal lesions projecting above the gastric surface and into the lumen of the stomach 
  • Most commonly discovered as asymptomatic incidental findings on upper endoscopy (esophagogastroduodenoscop...

DIAGNOSIS

HISTORY

  • Asymptomatic (>90%)

  • Larger polyps or patients with multiple polyps can present with (1)[C]:

    • Epigastric pain

    • Blood in stool

    • Anemia due to blood loss

    • Nausea

    • Gastric outlet obstruction

    • Vomi...

TREATMENT

  • Fundic gland polyps:

    • Polypectomy for fundic gland polyps 1 cm or greater (3)[C]

  • Hyperplastic polyp

    • Polypectomy for hyperplastic polyps 0.5 cm or greater (3)[C]

    • Eradicate H. pylori infection if...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Fundic gland polyp

    • Sporadic type: no follow-up necessary

    • FAP: Repeat EGD every 2 years (7)[A].

  • Hyperplastic polyp

    • If multiple, repeat EGD in 1 year (7)[A].

  • Adenoma

    • Re...

REFERENCES

1
Velázquez-Dohorn  ME, López-Durand  CF, Gamboa-Domínguez  A. Changing trends in gastric polyps. Rev Invest Clin.  2018;70(1):40–45. [View Abstract on OvidMedli...

ADDITIONAL READING

Yacoub H, Bibani N, Sabbah M, et al. Gastric polyps: a 10-year analysis of 18,496 upper endoscopies. BMC Gastroenterol. 2022;22(1):70. doi: 10.1186/s12876-022-0...

CODES

ICD10

  • K31.7 Polyp of stomach and duodenum

  • D13.1 Benign neoplasm of stomach

SNOMED

  • 78809005 Gastric polyp (disorder)

  • 36162004 Hyperplastic adenomatous polyp of stomach

  • 399468008 Solitary fundic gland p...

CLINICAL PEARLS

  • Most gastric polyps are asymptomatic, incidental findings on EGD.

  • Most gastric polyps are epithelial in origin and rarely show malignant changes.

  • Diagnosis and management is based on his...

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