Pregunta:
What are gastric polyps?
Autor: H KRespuesta:
Hyperplastic polyps (>80%): represent overgrowth of normal epithelium, with no relationship to gastric cancer . Adenomatous polyps: 30% contain a focus of adenocarcinoma; about 10% of benign adenomatous polyps undergo malignant change during prolonged follow-up. Symptoms and signs: most are asymptomatic or cause vague epigastric discomfort, dyspepsia, occult GI bleeding, gastric outlet obstruction with nausea and vomiting if polyp is located in distal stomach Upper GI endoscopy reveals gastric polyp. Treatment Endoscopic removal is successful in most cases; laparotomy or laparoscopy if endoscopy is unsuccessful. Resection if cancer is found in polyp. Gastrectomy may be required for multiple polyps.
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