Novel classification of gastric polyps: The good, the bad and the ugly.

Gastric polyps (GPs) are increasingly common. On upper endoscopy, they should be examined with white light and occasionally chromoendoscopy, and their morphology classified according to the Paris classification. Most GPs have a typical endoscopic appearance and can be associated with diseases like Helicobacter pylori infection. Histological examination is necessary for an accurate diagnosis. While most polyps are non-neoplastic and do not require treatment, some carry a risk of malignancy or are already malignant. Therefore, understanding the diagnosis, classification, and management of GPs is crucial for patient prognostication. Our new classification categorizes GPs into "good", "bad", and "ugly" based on their likelihood of becoming malignant. We aim to provide descriptions of the endoscopic appearance, pathology, treatment, and follow-up for different GPs, as well as clinical management flowcharts. ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

Citation

Deborah Costa, Daryl Ramai, Alberto Tringali. Novel classification of gastric polyps: The good, the bad and the ugly. World journal of gastroenterology. 2024 Aug 21;30(31):3640-3653

Mesh Tags

PMID: 39192997

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