Gastric Adenoma Surgery: Is Gastrectomy Necessary?

When a gastric adenoma is clearly diagnosed, a full gastrectomy is typically not required. For smaller adenomas, especially those less than 2 centimeters in size, the tumor can often be removed through endoscopic procedures without the need for open surgery. This minimally invasive approach allows for quicker recovery and fewer complications.

However, for larger adenomas exceeding 2 centimeters, a more involved procedure called enucleation or local excision may be necessary. This technique involves removing only the tumor itself while preserving the surrounding healthy stomach tissue. In most cases, it is not necessary to remove any portion of the stomach as long as there is no evidence of malignancy.

It's important to note that gastric adenoma surgery generally refers to the removal of the tumor alone. If preoperative pathology confirms that the adenoma is benign and has not undergone cancerous changes, complete removal of the tumor is sufficient treatment. This highlights the importance of early diagnosis and timely intervention.

Undergoing surgery at an early stage can help patients avoid potential complications and achieve faster symptom relief. Therefore, prompt medical evaluation and treatment are highly recommended once a gastric adenoma is detected. Early intervention not only improves outcomes but also reduces the need for more complex procedures in the future.