Dr. Vasavada Bhavin Bhupendra
Surgical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I had an endoscopy done where gastric adenomas were found near the duodenum. It was benign and completely removed. After a month the doctor did a colonoscopy, and no polyps were found. She also checked for gastric adenoma she removed and said nothing is there. The doctor asked me to come back in five years. I was reading that people with gastric adenomas should revisit every six to twelve months. I brought this up to my doctor and she said five years because my adenoma was small and it had what she called a "low-grade dysplasia" profile. Is she giving the correct advice? Kindly suggest.
Hello,
Welcome to icliniq.com.
The problem is searching online. Online sites do not necessarily provide the right information as per the latest scientific findings. Trust your doctors I agree with the advice. Low-grade dysplasia does not require frequent follow-ups. Five years is perfectly fine. Follow your doctor. I hope I cleared all your doubts.
Thank you.
Patient's Query
Hello doctor,
Thanks for the reply. I wanted to attach the journal information that I found. This is where they mentioned frequent checks specifically for gastric adenoma. My doctor says that each case is different. I just wanted your opinion on this, "after the resection of gastric adenomas, all patients should undergo a follow-up endoscopy in six to twelve months, followed by yearly endoscopies if appropriate. The endoscopy interval depends on the highest grade of dysplasia detected and the number and size of polyps resected. The cancer risk of the background stomach should also be considered. If CAG and or GIM are present they may warrant ongoing surveillance depending on their extent." I do not know all the technical details but just wanted your opinion if my doctor is giving me good advice based on your expertise.
Thank you
Hello,
Welcome back to icliniq.com.
Many journals, particularly which are available for free may not be accurate. To understand the actual science behind journals, you need to understand this. Apart from the initial appearance of the lesion, also decides the frequency of follow-up. Trust your doctors, if understanding the human body would have been so easy, doctors would not have toiled for 15 to 20 years of their life. Avoid net searching. You need qualifications to know what to search, for and how to conclude anything in medical science. I hope I have cleared your doubts.
Thank you.
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Surgical Gastroenterology
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