Читать книгу Gastrointestinal Pathology - Группа авторов - Страница 26

Gastric polyps are very frequently encountered, particularly in patients who are on chronic proton pump inhibitor therapy. Current ASGE guidelines for management of gastric polyps suggest that polyp should be sampled by biopsy. Fundic gland polyps larger than 1 cm should be removed by polypectomy. Hyperplastic polyps larger than 5 mm should be removed by polypectomy, and all adenomatous polyps should be removed by polypectomy. In patients who have numerous polyps, particularly where endoscopic inspection is highly consistent with fundic gland polyps, the largest of the polyps should be removed by polypectomy and representative sampling performed of smaller polyps.