Non-Atrophic Gastritis and Gastric Polyps: How Serious Are They?

Non-atrophic gastritis and gastric polyps are two distinct conditions, each with varying levels of severity. Compared to atrophic gastritis, non-atrophic gastritis is generally considered less severe. It is a type of chronic gastritis, often linked closely to Helicobacter pylori infection. In fact, during endoscopic examinations, more than 70% of patients diagnosed with non-atrophic gastritis are found to be infected with H. pylori. This infection plays a central role in the development of the condition and may require targeted treatment to prevent long-term complications.

Gastric polyps, on the other hand, refer to abnormal growths or protrusions from the stomach lining. These growths are often referred to collectively as polypoid lesions of the stomach. While most gastric polyps are benign, some can be precancerous or even malignant. The seriousness of a gastric polyp depends largely on its size, type, and histological characteristics.

There are two main categories of gastric polyps: non-neoplastic and neoplastic. Non-neoplastic polyps include inflammatory and hyperplastic polyps, which have a low risk of becoming cancerous. These types are usually not a major cause for concern unless they grow large or cause symptoms such as bleeding or obstruction.

In contrast, neoplastic polyps—such as adenomatous polyps—carry a higher risk of malignancy. Adenomas, especially those larger than 1 cm, are considered precursors to gastric cancer and typically require removal and further monitoring. The likelihood of cancer increases with the size and specific type of the polyp.

If you're concerned about your gastric health, it's crucial to consult a specialist who can interpret your endoscopy results accurately and recommend appropriate follow-up care. Only a trained gastroenterologist can determine whether your condition requires immediate treatment, surveillance, or lifestyle changes. Early diagnosis and proper management significantly improve outcomes for both non-atrophic gastritis and gastric polyps.