AGA Clinical Practice Update on Management of Gastric Polyps: Expert Review - PubMed
3 days ago
- #Gastric Polyps
- #Endoscopic Management
- #Surveillance
- Gastric polyps are raised epithelial lesions with various subtypes including fundic gland polyps, hyperplastic polyps, and adenomas.
- Different gastric polyp types can coexist and are associated with varying histopathologic abnormalities in surrounding mucosa.
- Systematic endoscopic examination is crucial for assessing underlying gastric mucosa pathology and determining management.
- Patients with adenomatous or hyperplastic gastric polyps should be tested and treated for H. pylori infection.
- Endoscopic evaluation should include high-definition white-light and enhanced imaging, with photo-documentation of polyp features.
- Endoscopic resection techniques include snare and biopsy forceps, mucosal resection, or endoscopic submucosal dissection.
- Surveillance plans should be based on polyp histopathology and surrounding mucosa condition.
- Follow-up endoscopy timing varies based on dysplasia grade and completeness of polyp resection.