诊断

用于诊断胃息肉的试验和医疗程序包括:

  • 内镜检查,用于查看您的胃内部
  • 组织样本(活检),其可在内镜检查期间获取,并在实验室进行分析

治疗

治疗方案取决于所患的胃息肉类型:

  • 非腺瘤小息肉。这类息肉可能无需治疗。它们通常不会引起体征和症状,仅在极少数情况下会出现癌变。医生可能建议您进行定期监测,以切除生长的息肉或引起体征和症状的息肉。
  • 大息肉。这类息肉可能需要切除。大多数胃息肉可在内镜检查期间切除。
  • 腺瘤。这类息肉可能发生癌变,通常会在内镜检查期间切除。
  • 与家族性腺瘤性息肉病有关的息肉。这类息肉需要切除,因为它们可能发生癌变。

医生可能会建议您进行后续内镜检查,以检查有无复发性息肉。

治疗幽门螺杆菌感染

如果您的胃炎是由胃中的幽门螺杆菌引起,医生会建议您使用抗生素治疗。幽门螺杆菌感染的治疗可能会使增生性息肉消失,还可能阻止息肉复发。

Treating H. pylori infection

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

准备您的预约

您可能会被转诊给专门治疗消化系统疾病的医生(胃肠科医生)。

您可以做什么

  • 了解就诊前是否有任何限制规定,例如就诊前禁食。
  • 写下您的症状,包括看似与约诊原因无关的任何症状。
  • 列出您使用的所有药物、维生素和补充剂。
  • 写下您的关键医疗信息,包括其他状况。
  • 写下您的个人关键信息,包括生活中近期出现的任何变化或压力。
  • 写下要向医生咨询的问题
  • 请亲属或朋友陪同就诊,帮助您记住医生提供的信息。

需要向医生咨询的问题

  • 最有可能引起我出现症状的原因是什么?
  • 我需要做哪些检查?要做任何特殊准备吗?
  • 我需要什么样的治疗?
  • 我需要什么样的随访护理?
  • 我还有其他健康问题。我怎样才能最好地同时管理这些状况?

除了您准备咨询医生的问题外,就诊期间还可以随时提出其他问题。

医生可能做些什么

医生可能会问一些问题。请做好回答这些问题的准备,这样有利于更好地安排时间,去详细了解您所关注的任何方面。医生可能会问:

  • 有哪些症状以及这些症状的开始时间?
  • 您的症状有多严重?症状是偶尔出现还是持续出现?
  • 是否有任何因素会改善或加重您的症状?
  • 是否有结肠癌、息肉或家族性腺瘤性息肉病家族史?
  • 是否服用过降低胃酸的药物?

What you can do

When you make the appointment, ask if there's anything you need to do in advance, such as fasting before having a specific test. Make a list of:

  • Your symptoms, including any that seem unrelated to the reason for your appointment, and when they began
  • Key personal information, including major stresses, recent life changes and family medical history
  • All medications, vitamins or other supplements you take, including the doses
  • Questions to ask your doctor

Take a family member or friend along, if possible, to help you remember the information you're given.

For stomach polyps, some questions to ask your doctor include:

  • What's likely causing my symptoms?
  • What tests do I need?
  • What's the best course of action?
  • I have these other health conditions. How can I best manage them together?
  • Are there restrictions I need to follow?
  • Should I see a specialist?
  • Are there brochures or other printed material I can have? What websites do you recommend?

Don't hesitate to ask other questions.

What to expect from your doctor

Your doctor is likely to ask you questions about your symptoms, such as:

  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, seems to worsen your symptoms?
  • Do you have a personal or family history of colon cancer, polyps or familial adenomatous polyposis?
  • Do you take medications to reduce stomach acid?