(A) clinical Gastric polyp is usually no obvious symptoms, there are more complications when in the upper abdominal discomfort, nausea, vomiting or upper gastrointestinal bleeding, occurred in the Department of Helicobacter pylori can cause polyps Di intermittent pyloric obstruction, the symptoms may change position Mitigation. Gastric polyps are often accompanied by chronic gastritis, which can have the symptoms. (B) diagnosis Although an autopsy in cases of gastric polyps in the incidence of only 0.12 percent to 0.8 percent, while the detection rate as high as gastroscopy 8.7 percent or so, but nearly 50% of the stomach and polyps polyps is not related to the symptoms Gastroscopy in the accident was found. The diagnosis of gastric polyps and rely on the gastroscopic upper gastrointestinal barium X-ray examination, MRI can be detected in a larger polyp, for outstanding performance in the stomach cavity of the elevated lesion. Endoscopic polyps mostly round or hemispherical, for a small number of lobulated, smooth surface mucosa or small Keli Gan, mostly orange, the color a little more weight around the mucous membrane; long pedicle were more obvious changes to the top, white moss , Erosion or bleeding. If polyps were observed in surface erosion necrosis, the bottom-invasive disease, ranging from the size of particles on the surface, such as polyps were nodular should consider the possibility of malignant transformation. Endoscopic polyps should be seen in the routine biopsy, a number of requests were based on several pieces, but endoscopic biopsy greater limitations of early malignant missed easy to make, and should, therefore, endoscopic removal of polyps in a row later sections "All tumor biopsy." (C) treatment As the symptoms caused by gastric polyps less, the removal of polyps in the main significance lies in the total after the biopsy to rule out any small malignant lesions to prevent cancer. With the endoscopic polypectomy technology and the popularity increased, the majority of scholars called for gastric polyps should be positive for endoscopic removal. Ginsberg, and so that even if the diameter of 0. 5 cm of gastric malignant polyps also possible, and endoscopic biopsy forceps biopsy may have missed, so that greater than or equal to 0. 5 cm of polyps should be removed as a whole. Commonly used method of endoscopic removal of polyps are high-frequency electrocoagulation trap removal, laser removal, burning hot biopsy forceps, microwave, such as excision, is less than 0. 5 cm pedicle polyps without first choice for burning hot biopsy forceps, or more than Di 0 . 5 cm and less than 2 cm of pedicle no polyps removed in order to trap more convenient, and other methods, to remove the trap of the biggest advantages is to send specimens to recover seized disease, and fewer complications, safe, the most commonly used; large At 2. 0 cm pedicle-free as a result of endoscopic removal of polyps are prone to bleeding and perforation, surgery should adopt the line of part of the stomach surgery.
