Afraid of cancer, patients want to remove the polyps in the stomach, but the doctor suggests observation? Do you want to cut it?

Even if the doctor told the patient face-to-face in detail, the patient could not remember those professional knowledge and terms, and finally only heard a few words such as “you are OK”, “the problem is not big”, “regular review”, “you have a problem here”. < / P > < p > which part of the risk is high, I will also talk about it later. If you are interested in remembering, keep looking. If you think you can’t remember, you don’t have to look down. Just remember one thing: if you find a gastric polyp, whatever its type, ask the doctor to kill it. Two small polyps were found by gastroscopy. Biopsy results showed that the gastric mucosa was mildly chronic inflammation with morbid hyperplasia. The two sizes were 0.2 cm and 0.3 cm respectively. The patient went to ask the digestive physician, the doctor’s meaning polyp small can be observed first. As a result, the patient came to me again and asked whether such a small polyp would become cancerous? Should we observe it first or remove it as soon as possible? Do you want to take any medicine if you observe? < / P > < p > look, the digestive doctor said to observe first, and the patient is still very worried. It’s true that patients are worried. After all, cancer is a matter of life and death. Therefore, if you find polyps, you can kill them and cut them. You can cut off the psychological panic and avoid the risk of cancer. Some doctors say that the polyps are too small to be cut. I would like to say that since the polyp is so small, when doing gastroscopy, it will take an extra minute to burn it and break it up. Some resection risk, or in advance did not communicate well with the patient, you can suggest the next time to review the gastroscope cut, if necessary, in-hospital cut. At present, more and more people attach great importance to physical examination. As soon as they are accurate, many people are found to have “pimples”, which is called polyps clinically. The incidence rate of gastric cancer is high, and many people are beginning to panic. Is this polyp a time bomb, will it be malignant? Gastric polyp is a kind of protruding and papillary abnormal growth tissue derived from gastric mucosal epithelial tissue. This polyp is prominent in the gastric mucosa protuberant lesions, most will not cancerous. Gastric polyps can be single or multiple, or even more than a dozen, dozens, and more. There are three types of polyps: hyperplastic polyp, adenomatous polyp and fundus gland polyp. Biopsy is needed to determine which type. Gastric polyps accounted for 0.8% ~ 2.4% of the population. The most common polyps were gastric fundus gland polyps (50%), followed by proliferative polyps (40%) and adenomatous polyps (10%). Most people’s polyps are not cancerous. Only adenomatous polyps have a higher risk of canceration. < / P > < p > our digestive tract is a soft tube with good elasticity and strong peristalsis function, so the food we eat into our mouth can be well absorbed and digested. Most of the time, this soft digestive tract has a “pimple” in some part, which is very difficult to find, unless it is gastroscope and colonoscopy. However, some people may have abdominal symptoms, such as mild pain and discomfort, nausea, anorexia, dyspepsia, weight loss and chronic diarrhea. If polyp erosion, ulcer, can occur intermittent or persistent bleeding. Larger polyps can block the pylorus, then pylorus obstruction symptoms can appear. Helicobacter pylori infection: Helicobacter pylori causes injury and irritation to gastric mucosa. Some patients after eradication of Helicobacter pylori, gastric polyps can completely disappear. Genetic factors: the specific reason is not clear. Proton pump inhibitors and other drugs: commonly used are omeprazole, pantoprazole, lansoprazole, etc., to promote the formation of gastric polyps. Elderly people often suffer from stomach diseases, such as gastric ulcer, gastritis, etc. if they often take acid suppressants, they will also increase the risk of gastric polyps. Reflux of digestive juice: duodenal juice contains cholic acid and trypsin, which flows back into the stomach, which can damage the gastric mucosa, cause inflammatory hyperplasia of gastric mucosa, and lead to gastric polyps; at the same time, a large amount of reflux fluid increases the pH value in the stomach, making gastrin hyperplasia, leading to the production of proliferative polyps. In addition, alcohol and tobacco may also stimulate gastric mucosa. 5、 When gastroscope colonoscopy discovers polyp, should cut off? Will it change? < / P > < p > some doctors in the endoscopy room of some hospitals, when doing gastroscopy and colonoscopy, find the polyp and clip it off directly. It is cheap, with little damage and can be done at one time. If there are more polyps, a second operation may be needed to clean up the remaining polyps. < / P > < p > however, some hospitals do not resect the polyps, so they dare not to resect them because they do not check the coagulation function. Therefore, the patients are allowed to observe, and the relatively small polyps can be observed. But polyps need to be biopsied to see if there is a risk of cancer. Although adenomatous polyps only account for 10% of gastric polyps, but the risk of canceration can reach 30% ~ 58%. After the diagnosis of biopsy, we should cut off the roots in time and leave no harm! < p > < p > gastroscopy screening can not only detect the problem of gastric polyps, but also find other gastric diseases. The risk of canceration of polyps is related to the size of the polyps and should be reviewed regularly. Even if polyps are removed, reexamination is necessary. Pay attention to public health to avoid Helicobacter pylori infection. If you are not sure whether you are infected, you can check the C13 C14 test. Change bad living habits: do not overeat, eat less spicy food, regular diet. Quit smoking and limit alcohol. Personal introduction: shuangjianbo, MD, surgeon, deputy director of general surgery. He is good at thyroid nodule ablation, breast minimally invasive surgery, liver tumor ablation in high-risk areas, abdominal diseases, laparoscopic hernia repair, laparoscopic gastrointestinal surgery. Thank you for your attention to me all the time @ minimally invasive surgery double 5 guns. Welcome to write the topic of concern in the comment area. I will take it as the follow-up topic, hoping to create more contents that you like. If you or your relatives and friends have health problems, I will provide you with specific and professional guidance. 08/17/2020