What to do if the staining border of Yamada type I gastric polyp is clear?

Patients with clear staining borders of Yamada type I gastric polyps are recommended to undergo medication and surgery to relieve symptoms. Yamada typing is the standard for categorizing gastric polyps, which are elevated lesions with or without a protruding tip that originate from the gastric epithelium and protrude into the lumen of the stomach. Gastric polyps are categorized into Yamada type I, Yamada type II, Yamada type III, and Yamada type IV according to the morphology of the elevated lesion. Yamada type I is a broad-based polyp, the size of which is about 1cm, and is an isolated, round, non-tipped polyp that occurs mostly in the gastric antrum. 1. For gastric polyps coexisting with Helicobacter pylori infection, eradication of Helicobacter pylori is often required. Currently, the four-pronged method, i.e., a proton pump inhibitor such as omeprazole + a bismuth agent such as bismuth pectin + two antibiotics such as amoxicillin and clarithromycin, is used for eradication treatment. 2. Endoscopic surgery can be chosen, including biopsy forceps bite removal, thermal probe cauterization, mesh sleeve after electrosurgical resection. Endoscopic surgery is less invasive, quicker recovery, lower cost, and relatively fewer postoperative complications. Surgical resection is also an option for patients with highly suspicious and malignant endoscopic tumors, and lesions that cannot be safely and completely removed endoscopically. Simple partial gastrectomy, major gastrectomy, and gastric cancer eradication can be chosen. Open surgery is traumatic, has a long recovery period, is expensive, and is prone to digestive dysfunction and dumping syndrome after gastrectomy. It is recommended that patients with clear staining borders of Yamada type I gastric polyps be treated under the guidance of a doctor to avoid delays.