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

Video Transcription

Video Summary

In this video, the speaker discusses gastric polyps and their potential for cancer. They explain the different types of gastric polyps and how they can be identified endoscopically. The focus of the discussion is on epithelial gastric polyps, such as fundigland type, hypoplastic, adenoma, hematomatous, and neuroendocrine tumor type. These polyps are generally diagnosed based on biopsy. On the other hand, sub-epithelial polyps require endoscopic ultrasound examination to determine their origin. The speaker emphasizes that most gastric polyps are found incidentally and have a low malignant potential. However, careful evaluation is recommended for larger polyps, as they may have a higher risk of malignancy. The management of gastric polyps includes resection for concerns of underlying malignancy, eradication of H. pylori if present, and surveillance based on the presence of gastric intestinal metaplasia and associated changes. The video provides guidelines for the management of different types of gastric polyps and emphasizes the importance of high-quality endoscopy.

Keywords

gastric polyps

cancer potential

endoscopic identification

epithelial gastric polyps

sub-epithelial polyps