Lectures

Gastric Polyps

by Carlo Raj, MD
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    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 a tubular and a 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....

    About the Lecture

    The lecture Gastric Polyps by Carlo Raj, MD is from the course Stomach and Duodenum Diseases.


    Included Quiz Questions

    1. Arrange for a surgical resection immediately.
    2. No further treatment is required.
    3. Test for Helicobacter pylori infection.
    4. Take further history in regards to colon cancer in the family.
    5. Perform an endoscopy.
    1. "These are not associated with cancer but we could do a preventive excision."
    2. "They are associated with gastric adenocarcinoma."
    3. "They are premalignant."
    4. "They cause peptic ulcer disease."
    5. "They can lead to atrophic gastritis."

    Author of lecture Gastric Polyps

     Carlo Raj, MD

    Carlo Raj, MD


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