Diagnosis and approach to gastric polyps

Gastric polyps are among the most commonly encountered findings discovered on upper endoscopy. Many endoscopists groan when they encounter these lesions, as their management can be surprisingly complex. Others simply pretend they did not see these lesions for the same reasons. That having been said, a solid understanding of gastric polyps and how to approach their biopsy, resection, and follow-up is critical for endoscopists. Some of these lesions are benign, with little to no malignant potential, and some are very high-risk lesions that must be addressed in a very rigorous fashion. Most gastric polyps fall into a relatively small number of categories, and once people become familiar with their diagnosis and management, these can be both interesting and rewarding lesions (and patients) to manage. In this Top Tips article, Dayna Early provides a wealth of information for readers on the evaluation and treatment of both syndromic and nonsyndromic gastric polyps.