Management of Non-neoplastic Gastric Lesions

Surg Clin North Am. 2017 Apr;97(2):387-403. doi: 10.1016/j.suc.2016.11.011.


Benign gastric lesions represent various pathologic entities and management considerations. Upper endoscopy serves as the primary diagnostic modality for gastric lesions. Persistent or giant gastric ulcers represent unique subtypes of ulcers, requiring investigation of the underlying cause. Medical management remains the mainstay of treatment; however, indications for surgical intervention remain. Gastric polyps also represent diverse etiologies, and accurate diagnosis requires pertinent information and tissue samples. Neoplastic lesions often present as polypoid lesions; a high index of suspicion is required when discovered endoscopically. Malignant transformation potential varies widely between the various lesions; therefore an accurate diagnosis is imperative to determine management.

Keywords: Fundic gland polyp; Gastric polyps; Giant gastric ulcer; Hyperplastic gastric polyp; Refractory gastric ulcer.

Publication types

  • Review

MeSH terms

  • Chronic Disease
  • Early Detection of Cancer
  • Early Diagnosis
  • Gastroscopy / methods
  • Humans
  • Intestinal Polyps / diagnosis
  • Intestinal Polyps / etiology
  • Intestinal Polyps / therapy*
  • Lipoma / diagnosis
  • Lipoma / etiology
  • Lipoma / therapy
  • Recurrence
  • Stomach Neoplasms / diagnosis
  • Stomach Neoplasms / etiology
  • Stomach Neoplasms / therapy*
  • Stomach Ulcer / diagnosis
  • Stomach Ulcer / etiology
  • Stomach Ulcer / therapy*