18Mar

Polypectomy of the stomach. What should I look for?

Something is wrong with the stomach, you'll have to go to the doctor - you decide and start to be examined. Gastroscopy, ultrasound, tests and other medical delights. You leave the room with a diagnosis of "polyp in the stomach" and referral to a hospital. Sad, sad, but curable! Removal of the polyp of the stomach, and any other organ is a surgery familiar to surgeons. But the patient has a lot of questions - what is a dangerous polyp and can you do without an operation?

Contents:

  • 1 What is the polyp of the stomach. Symptoms and causes of
  • 2 Elimination of the polyp of the stomach. Choice of intervention technique
  • 3 Endoscopic polyectomy. Procedure for performing the operation
  • 4 Broadband operation and laparoscopy for stomach polyps
  • 5 Diet after polypectomy
  • 6 To remove or not? Consequences of the wrong choice

What is the polyp of the stomach. Symptoms and causes of the onset of

Polyp

Polyp is a proliferation of cells on the mucous membrane of the organ.

Polyp is a proliferation of cells on the mucous membrane of the organ. These tumors can appear in the nasal sinuses, stomach, uterine cavity, urinary and gallbladder. Any organ that has a mucous membrane is at risk of such growth. Polyps of the stomach - the proliferation of cells inside the stomach. The disease is quite rare. Causes of sprouting:

  1. Age - at risk group over 50 years old
  2. Bacterial infections - Helicobacter pylori contributes to the formation of polyps
  3. Hereditary oncology of the digestive system
  4. Some medicines are taken
  5. Radiation exposure
  6. Chemical effects on gastric mucosa

Polyps of the stomach rarely show themselves. Often they are found in a complex examination or in the treatment of other diseases of the gastrointestinal tract. Symptomatology polyposis stomach:

  • Stomach pains
  • Pain during palpation epigastrium
  • Nausea
  • Vomiting
  • bloating
  • Bleeding
  • Report evacuation of food from the stomach
  • Report defecation
  • intractable anemia
  • Halitosis, possible offensive vomiting

These features are characteristic of manypathologies of the gastrointestinal tract. To confirm the diagnosis, "polyposis" uses various types of gastroscopies - examination of the stomach cavity with the help of an endoscope and simultaneous collection of material for histological examination. What to do next is decided by the attending physician. Polypas measuring less than 1 cm are recommended to observe, more - only to remove. If the histology has determined the presence of malignant cells, then the removal of such education is mandatory, regardless of its size.

Even with benign polyps, surgical intervention is recommended, as the probability of its degeneration into a cancerous tumor is high.

We remove the polyp of the stomach. Selection of intervention procedure

Polyp removal

Removal of the polyp can be accomplished by applying a diathermic loop.


Read: What are polyps in the stomach? Is it dangerous?

Any treatment for a polyp starts conservatively. The patient is examined, he is prescribed antibiotics - if a bacterial infection, enveloping and anti-inflammatory drugs are detected. Often after the reasons for the development of polyposis have been removed, the unpleasant neoplasm passes on its own. If conservative methods have not yielded a positive result, polypectomy surgery is performed. Methods for removal of stomach polyps:

  • Endoscopic intervention
  • Broadband operation
  • Laparoscopy

The choice of method of patient management depends on the size and nature of the polyp.

Endoscopic polyectomy. Procedure for performing the operation

How the intervention will be performed depends on the size of the lesion, its location. If the polyp has a long stem, then the loop of the endoscope is placed as close as possible to the mucous membrane of the stomach. Carry out this manipulation carefully, as there is a risk of traumatization of the foot of the formation. This will cause massive bleeding, which is difficult enough to stop. After the loop of the electrode is tightened, an electric current is passed through it.

Simultaneously, polyp removal takes place, and coagulation of the mucous membrane occurs. At the site of the procedure, a scab is formed.
If the size of the polyp is small, but it has a wide base, the loop grasps the maximum possible area and stretches the pseudopleg from the mucosal tissues. Further the doctor passes an electric current on a loop electrode and removes a neoplasm.

If the base of the polyp is more than 1.5 cm, then a series of surgical procedures is performed. Neoplasm is removed in parts with interruptions of 2-3 weeks. Small polyps are removed by electrodestruction. During the procedure, a polyp is captured by biopsy forceps, and then an electric current is passed through. Operative intervention is carried out permanently. Outpatient procedure is carried out only for polyps no larger than 0.5 cm. For convenience, the patient is immersed in medication sleep. The length of stay in the hospital bed is a maximum of 2 days.
Contraindications for endoscopic intervention:

  • Severe patient condition
  • Coagulopathy
  • Malignant nature of polyp
  • Prolonged use of anticoagulants
  • Pacemaker in patient
Read: Polyp of stomach - treatment with folk remedies. Is operation always justified?

The probability of recurrence of the disease is 12% of cases.

Broadband surgery and laparoscopy for stomach polyps

Laparoscopy

Laparoscopy is one of the methods for removing polyps.

Currently, broadband polypectomy surgery is not being pursued. But with extensive or recurrent polyposis, complete or partial gastrectomy is performed. In laparoscopic surgery, the doctor enters the instruments through small incisions on the skin.

The location of the wound depends on the location of the lesion. The doctor grasps a site with a polyp by biopsy forceps, pulls it into the lumen of the wound and removes it along with the leg and the site of the adjacent mucous membrane of the stomach.

The surgical wound is sutured, and the removed tissue is sent for histological analysis. If the malignant nature of the polyposis is established, the patient is referred to the oncologist. The operation in this case consists in complete resection of the stomach and regional lymph nodes. The procedure is performed under general anesthesia. The length of stay in the clinic depends on the patient's condition.

Diet after polypectomy

After the operation it is important to follow a diet. This contributes to a rapid recovery after surgery.
The general principles of nutrition after endoscopic and laparoscopic surgery:

  1. The first day after the intervention, you will starve - food is banned
  2. The second day - the patient is allowed to drink water and special formula
  3. Third day - 8 weeks pass to the extended ration

What can I use during the rehabilitation period:

  • Whole meat broths, soups
  • Any cereals
  • Milk and lactic acid products
  • Vegetables stewed, boiled, steamed
  • Sweet fruits and homemadejuices
  • Pasta
  • Meat, fish boiled or baked form

The ban fall:

  • Spicy and fried foods
  • Alcohol
  • Smoked
  • Unpasteurized milk
  • Bakery
  • peas, beans, beans
  • Packaged juices
  • Carbonated water
  • Cabbage and dishesher
Read: Polyp of the stomach - treatment with folk remedies. Is operation always justified?

Delete or not? Consequences of wrong choice

Polyps

Removal of polyps should be done without doubt - this will not damage your health.

How often patients, after hearing about the need for surgery, begin to look for alternative therapies. They turn to folk healers and other charlatans, drink celandine and various vegetable and not very muck. At the same time tightening and aggravating his condition. Consequences of untreated polyposis of the stomach:

  1. Violation of the integrity of the polyp and as a result, bleeding
  2. Large neoplasms can interfere with the movement of food into the intestine
  3. Infringement of polyps on long legs in the areas of stomach passage into the duodenum

Rebirth of the polyp into malignant growth. Survival in stomach cancer is only 15% for 5 years. Polyps of the stomach - this is not a harmless disease. Only timely diagnosis and proper treatment give hope for a complete recovery of the patient. Do not delay the visit to the doctor and do not experiment with yourself using various recipes from the Internet.

On the precursors of cancer, namely - about polyps, will tell the video:


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