Diagnosis

Tests and procedures used to diagnose stomach polyps include:

  • Endoscopy, to view the inside of your stomach
  • Tissue sample (biopsy), which can be removed during endoscopy and analyzed in the laboratory

Treatment

Treatment depends on the type of stomach polyps you have:

  • Small polyps that aren't adenomas. These polyps might not require treatment. They typically don't cause signs and symptoms and only rarely become cancerous. Your doctor might recommend periodic monitoring so that growing polyps or polyps that cause signs and symptoms can be removed.
  • Large polyps. These polyps might need to be removed. Most stomach polyps can be removed during endoscopy.
  • Adenomas. These polyps can become cancerous and are usually removed during endoscopy.
  • Polyps associated with familial adenomatous polyposis. These polyps are removed because they can become cancerous.

Your doctor will likely recommend follow-up endoscopy to check for recurring polyps.

Treating H. pylori infection

If you have gastritis caused by H. pylori bacteria in your stomach, your doctor will likely recommend treatment with antibiotics. Treating an H. pylori infection may make hyperplastic polyps disappear, and may also stop polyps from recurring.

Preparing for your appointment

You may be referred to a doctor who specializes in the digestive system (gastroenterologist).

What you can do

  • Be aware of any pre-appointment restrictions, such as fasting before your appointment.
  • Write down your symptoms, including any that may seem unrelated to the reason why you scheduled the appointment.
  • Make a list of all your medications, vitamins and supplements.
  • Write down your key medical information, including other conditions.
  • Write down key personal information, including any recent changes or stressors in your life.
  • Write down questions to ask your doctor.
  • Ask a relative or friend to accompany you, to help you remember what the doctor says.

Questions to ask your doctor

  • What's the most likely cause of my symptoms?
  • What tests do I need? Is there any special preparation for them?
  • What kinds of treatments do I need?
  • What follow-up care will I need?
  • I have other health problems. How can I best manage these conditions together?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask other questions during your appointment.

What to expect from your doctor

Your doctor is likely to ask you a number of questions. Being ready to answer them may leave time to go over points you want to spend more time on. You may be asked:

  • What are your symptoms, and when did they begin?
  • How severe are your symptoms? Are they occasional or continuous?
  • Does anything improve or worsen your symptoms?
  • Do you have a family history of colon cancer, polyps or familial adenomatous polyposis?
  • Do you take medications to reduce stomach acid?
Oct. 17, 2015
References
  1. Mahachai V, et al. Gastric polyps. http://www.uptodate.com/home. Accessed July 28, 2015.
  2. AskMayoExpert. Do cystic fundic gland polyps need to be treated? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
  3. Gore RM. Benign tumors of the stomach and duodenum. In: Textbook of Gastrointestinal Radiology. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed July 28, 2015.
  4. Odze RD. Polyps of the stomach. In: Odze and Goldblum Surgical Pathology of the GI Tract, Liver, Biliary Tract and Pancreas. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed July 28, 2015.
  5. Kumar V. Gastric polyps and tumors. In: Robbins and Cotran Pathologic Basis of Disease. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed July 28, 2015.
  6. Sonnenberg A, et al. Prevalence of benign gastric polyps in a large pathology database. Digestive and Liver Disease. 2015;47:164.
  7. Evans JA, et al. The role of endoscopy in the management of premalignant and malignant conditions of the stomach. Gastrointestinal Endoscopy. 2015;82:1.
  8. Shaib YH, et al. Management of gastric polyps: An endoscopy-based approach. Clinical Gastroenterology and Hepatology. 2013;11:1374.