Not again !!!
I removed this pre-pyloric nodule about a year ago. Histology confirmed an inflammatory/hyperplastic polyp without dysplasia. Now the thing has grown back!?
WHAT IS LIKELY TO BE THE APPROPRIATE MANAGEMENT?
■ Take a full set of biopsies
■ Remove the local recurrence by snare
■ Eradicate the Helicobacters
In most cases, gastric hyperplastic polyps are caused by Helicobacter pylori. However, because of the 0.6% - 2.1% risk of cancer arising within a hyperplastic polyp in the stomach, I do remove the larger ones. However, a year ago, this proved to be a hyperplastic polyp caused by Hp. The polyp recurred because the underlying cause had not been dealt with. This patient needs to have his Hp eradicated!!
A study published in Digestive Diseases & Sciences 2020;65(12):3652-59 confirmed that all 14 patients had complete regression of their hyperplastic gastric polyps 10 months after eradication of their Helicobacter’s compared with none of the 13 patients in the non-eradication group.