Treatment of polyps of the stomach

Treatment of polyps of the stomach, as well as observation in the conditions of the dispensary should be carried out taking into account the probability of malignancy.

The therapeutic course includes conservative and surgical methods. Endoscopic polypectomy is also widely used.

The treatment of polyps by conservative methods is practically ineffective. Moreover, taking into account the frequency of malignancy, in particular, adenomatous formations, and the difficulty in detecting malignancy, it is necessary to apply the removal.

Surgical intervention for a long time was the main measure that makes effective treatment of polyps. Most often a resection of the stomach was prescribed . However, as practice shows, about eight or twenty percent of operated patients showed relapses. Approximately twenty-five to thirty-five percent of cases after surgical intervention begin to develop functional various disorders and complications. Moreover, postoperative mortality ranges from five to eight percent. According to the statistics, a high probability of growth of a cancerous tumor in the cult of the operated organ was revealed.

Surgical polypectomy is considered a method of how to get rid of polyps, more simple and safe than resection. In this case, the excision of the formations within the mucosa or their removal along with all layers of the stomach wall is carried out. Such treatment of polyps is indicated in the case of their proximity or solitary type. This method is also applicable in the case of technical impossibility of using the endoscopic method.

Polyps can be removed by mechanical shearing with a metal loop or by electroexcision with a diathermic loop, as well as electrocoagulation with biopsy forceps.

It should be noted that endoscopic polypectomy is considered today the main method of getting rid of formations.

Among the available methods, electroexcitation is most preferable. When it is used, a very successful combination of cutting and coagulating factors is carried out. The cut polyp is removed from the stomach and then can be used in a histological study. Indication for the use of the method of electroexcision is the value of formation from 0.5 to 3 centimeters, the width of its base not more than one and a half centimeters. With a smaller size of polyps, this method leads to the destruction and formation of a burn in its place. Thus, minor polyps are more appropriate to coagulate with a precision coagulator, conducting a preliminary biopsy.

Benign or malignant polyps of the large intestine, as well as the stomach, involves surgical intervention. At the same time, given the likelihood of recurrence, as well as the development of cancer, in the first two years after the operation, the patients are assigned permanent dispensary observation. The first inspection is shown after a period of one and a half to two months from the date of its conduct, then every six months.

After the removal of malignant formations during the first year, a monthly inspection is a prerequisite. During the second year, follow-up visits are conducted every three months. After two years, regular half-yearly inspections are allowed.

It should be noted that recurrent development of polyps (benign) after removal is noted in 13% of patients. The statistics are taken for the period of the first two years from the date of the operation. In addition, new formations in different areas of the colon were detected in 7% of patients.

It should be noted that the development of relapse is an indication for urgent re-surgical treatment.