Stomach polyps

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Treatments and drugs

By Mayo Clinic staff

Treatment depends on the type of stomach polyps you have:

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

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. You may need to take antibiotics for several weeks to kill the H. pylori.

References
  1. Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. http://www.mdconsult.com/book/player/linkTo?type=bookHome&isbn=978-1-4160-6189-2&eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&uniq=200844987-3. Accessed Aug. 19, 2012.
  2. Kumar V, et al. Robbins and Cotran Pathologic Basis of Disease. 8th ed. Philadelphia, Pa.: Saunders; 2009. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4377-0792-2..X5001-9--TOP&isbn=978-1-4377-0792-2&uniqId=352179482-8. Accessed Aug. 19, 2012.
  3. Goddard AF, et al. The management of gastric polyps. Gut. 2010;59:1270.
  4. Park DY, et al. Gastric polyps: Classification and management. Archives of Pathology and Laboratory Medicine. 2008;132:633.
  5. Picco MP (expert opinion). Mayo Clinic, Jacksonville, Fla. Aug. 22, 2012.
  6. H. pylori and peptic ulcers. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/hpylori/index.htm. Accessed Aug. 20, 2012.
  7. AskMayoExpert. Do cystic fundic gland polyps need to be treated? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
DS00758 Oct. 17, 2012

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