Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of gastric polyps identified during recent EGD. History includes [asymptomatic / dyspepsia / epigastric pain / occult GI bleeding]. Review of systems negative for weight loss, dysphagia, or anemia. No known family history of FAP or gastric malignancy.
Clinical Examination Findings
Abdomen: Soft, non-tender, non-distended. No palpable masses or organomegaly. Bowel sounds normoactive. EGD findings: [Number/Size/Location] polyps noted in [fundus/body/antrum]. Morphology: [sessile/pedunculated], [smooth/lobulated/ulcerated]. Biopsy performed for histopathological classification (Hyperplastic vs. Fundic Gland vs. Adenomatous).
Treatment Protocol
Management plan: 1. Await histopathology results. 2. If hyperplastic/adenomatous: Consider endoscopic polypectomy based on size (>1cm) and dysplasia. 3. If fundic gland polyps: Review PPI usage; consider dose reduction or cessation if clinically appropriate. 4. Surveillance EGD interval determined by polyp type, size, and number.