How are gastric polyps managed when encountered radiographically or endoscopically?
- Endoscopic evaluation is warranted for polyps of any size that are detected radiographically.
- During endoscopy, gastric polyps should be removed whenever possible because the gross appearance of polyps in most cases (typical small fundic-appearing glands excluded) cannot be used to differentiate the histologic subtypes.
- A representative biopsy should be performed on the largest polyp if multiple polyps are encountered or if a polypectomy is not possible. Surgical resection may be considered for any large adenomatous polyps or polyps containing dysplastic tissue.
- Care should be taken when resecting large gastric polyps as they may be very vascular.
