Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of gastric adenomatous polyps identified on recent EGD. Reports [asymptomatic / epigastric pain / early satiety / occult GI bleeding]. No history of FAP or H. pylori infection. Family history negative for gastric malignancy.
Clinical Examination Findings
Abdominal examination: Soft, non-distended, non-tender to palpation. No palpable masses or organomegaly. Bowel sounds present and normal. Digital rectal exam: [Negative for melena / positive for occult blood].
Treatment Protocol
Plan: Endoscopic mucosal resection (EMR) or polypectomy performed for lesion removal. Histopathological evaluation of resected tissue to rule out high-grade dysplasia or adenocarcinoma. Surveillance EGD scheduled in [6-12] months. Proton pump inhibitor (PPI) therapy initiated for mucosal healing.