Gastric polypoid lesions - Illustrative cases and literature review

Currently, upper gastrointestinal endoscopies are frequently performed for patients with various gastrointestinal symptoms. From time to time, lumps a nd bumps in the stomach are encountered on endoscopy. Four cases of gastric polypoid lesions are presented. The classification, differentiation, and m anagement approach to these lesions are discussed. Although there is consen sus that all gastric adenomatous polyps should be removed, as should gastri c hyperplastic polyps that are symptomatic and/or bear dysplastic foci on f orceps biopsy, controversy still exists over the management of asymptomatic gastric hyperplastic polyps that do not bear any dysplastic focus on force ps biopsies. Endoscopic ultrasonography (EUS) has a promising role in the e valuation of gastric submucosal polypoid lesions. (C) 1998 by Am. Cell. of Gastroenterology.