Transcription of Guidelines - British Society of Gastroenterology
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Guidelines - British Society of Gastroenterology
The management of gastric polypsAndrew F Goddard,1 Rawya Badreldin,2D Mark Pritchard,3 Marjorie M Walker,4 Bryan Warren,5on behalf of the British Society of GastroenterologyABSTRACTB ackgroundGastric polyps are important as some havemalignant potential. If such polyps are left untreated,gastric cancer may result. The malignant potentialdepends on the histological type of the polyp. Theliterature base is relatively weak and anyrecommendations made must be viewed in light of polyps are sessile or pedunculatedlesions that originate in the gastric epithelium orsubmucosa and protrude into the stomach potentialDepending on histological type,some gastric polyps (adenomas and hyperplastic polyps)have malignant potential and are precursors of earlygastric cancer. They may also indicate an increased riskof intestinal or extra-intestinal OF RECOMMENDATIONS (QUALITY OFEVIDENCE, BENEFIT/HARM RATIO, STRENGTH OFRECOMMENDATION)<All types of gastric polyp detected at endoscopyneed to be sampled for which forceps biopsyusually suffices (moderate, net benefit, qualified)<Biopsy of intervening non-polypoid gastricmucosa is recommended for all hyperplasticand adenomatous polyps (moderate, uncertaintrade-offs, qualified)<IfHelicobacter pyloriis detected in patients withhyperplastic and a
guideline and draft guidelines were prepared. The draft guideline was then reviewed by all members of the British Society of Gastroenterology (BSG) Gastroduodenal Section and Pathology Section Committees. Two meetings were held involving all members of the Gastroduodenal Section Committee to redraft the guideline.
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