EGD Masterclass: EoE, Strictures, and Pre-malignant Gastric Conditions (On-demand) | January 2023-Gastric Polyps and Cancer (Updated)

Video Transcription

Video Summary

The speaker discusses different types of gastric polyps, their malignant potential, endoscopic identification, and management. They explain that there are two categories of gastric lesions or polyps. The first category is epithelial lesions or polyps, which can be sessile or pedunculated, and they have visible abnormalities on the mucosal surface. The second category is sub-epithelial polyps, where the mucosal surface appears normal. The focus is on epithelial gastric polyps, including fundigland type, hypoplastic, adenoma, hematomatous, and rarely neuroendocrine tumor type. These polyps are generally diagnosed based on biopsy. They discuss the need for careful evaluation of larger polyps as they can harbor a risk of malignancy. The speaker also emphasizes the importance of histologic confirmation and surveillance for different types of polyps, such as hyperplastic and adenoma polyps. They provide management guidelines specific to each type of polyp. The British Society of Gastroenterology's management algorithm is recommended for reference. The speaker concludes by highlighting the need for high-quality endoscopy and thorough evaluation of young individuals with multiple fundigland polyps for potential familial adenomatous polyposis. They also emphasize the importance of examining the surrounding mucosa for associated changes and synchronous lesions. No credits were mentioned in the video transcript.

Keywords

gastric polyps

endoscopic identification

malignant potential

management

histologic confirmation