Stomach polyp treatment varies, depending on:
- Polyp type.
- Polyp size.
- Polyp shape.
- Polyp location.
- How many polyps you have.
- Your symptoms.
- Your risk factors, which include your family medical history, your age, and whether you smoke.
Fundic polyps and hyperplastic polyps generally don’t develop into cancer.
Unless your polyp is large or shows signs of dysplasia, your doctor may recommend simply keeping an eye on it. You may need to get more frequent upper endoscopies.
Large stomach polyps or polyps with dysplasia
Larger polyps have an increased risk of developing into cancer. They are also more likely to cause uncomfortable symptoms.
For these reasons, your doctor may recommend removing it in a procedure called a polypectomy. This can often be done using an endoscope, and you won’t need to stay overnight in the hospital.
Adenomatous polyps and polyps caused by familial adenomatous polyposis
Adenomatous polyps have the greatest risk for developing into stomach cancer, so your doctor will recommend removing them no matter their size.
Your doctor will likely perform a polypectomy using an endoscope.
Polyps may develop because of chronic gastritis or H pylori infection. You may need additional treatment to deal with these issues.
H pylori can usually be treated with antibiotics. Treatment for gastritis may involve reducing your alcohol consumption, changing your diet, and taking medications to reduce stomach acid production.
If you have fundic gland polyps and are taking proton-pump inhibitors, you and your doctor may want to discuss cutting back on the medication or finding alternatives.