Let's talk about gastric polyps. Histologically divided as
hyperplastic polyp associated with adjacent injury,
fundic gastric polyp associated with chronic acid
suppression. That was the bullet point that I had
made earlier, with polyps being a risk factor for
possibly gastric adenocarcinoma. If your patient is
on a PPI, acid suppression takes place. The gastrin
then increases as a physiologic response.
The gastrin will then cause increased proliferation
of your gastric mucosa. Adenomatous polyp associated
with atrophic gastritis. Adenomatous polyp considered
pre−malignant. Any time that you have a polyp,
you never leave it behind. Same concept applies to
your colonic polyps. When we do our colonic polyps,
we’ll be doing our tubular and our villous. The
tubular has less of a chance of going on to
malignancy but it still could, and you never
leave a polyp behind. Here, the same concept.
Hyperplastic and fundic polyps are not pre−malignant.
Hyperplastic and fundic polyps, not so much.
The adenomatous polyps, however, more so.
But in general, you always remove a polyp.