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Treatments and drugs
By Mayo Clinic staff
Treatment may not be necessary
Small polyps that aren't adenomas may not require treatment. These polyps typically don't cause signs and symptoms and only rarely become cancerous. Instead, your doctor may recommend periodic monitoring of your stomach polyps. You may undergo endoscopy to see whether your stomach polyps have grown. Polyps that grow or that cause signs and symptoms can be removed.
Removing adenomas and large stomach polyps
Treatment to remove stomach polyps may be recommended if your polyps are adenomas or if they are larger than 2/5 inch (1 cm) in diameter. Most polyps can be removed during an endoscopy exam.
Stopping H. pylori infection to treat and prevent polyps
If you have gastritis caused by H. pylori bacteria in your stomach, your doctor will likely recommend killing the bacteria with antibiotics. Stopping an H. pylori infection may make hyperplastic polyps disappear. It may also stop polyps from returning in the future. Tests can help your doctor determine whether you have H. pylori infection. Then, your doctor may prescribe antibiotics for you to take for several weeks to kill the H. pylori bacteria.
- Turner JR. The gastrointestinal tract. In: Kumar V, et al. Robbins and Cotran Pathologic Basis of Disease. 8th ed. Philadelphia, Pa.: Saunders; 2009. http://www.mdconsult.com/das/book/body/206776626-4/0/2060/0.html. Accessed June 22, 2010.
- Abrams JA, et al. Adenocarcinoma and other tumors of the stomach. In: Feldman M, et al. Sleisinger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa.: Saunders; 2010. 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 June 22, 2010.
- Mahachai V, et al. Gastric polyps. http://www.uptodate.com/home/index.html. Accessed June 22, 2010.
- Park DY, et al. Gastric polyps: Classification and management. Archives of Pathology and Laboratory Medicine. 2008;132:633.
- 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 June 25, 2010.
- Heartburn, gastroesophageal reflux (GER) and gastroesophageal reflux disease. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/gerd/index.htm. Accessed June 25, 2010.
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