Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 14, 2025; 31(2): 100783
Published online Jan 14, 2025. doi: 10.3748/wjg.v31.i2.100783
Gastric polyps are not created equal: Know your enemy
Fady Daniel
Fady Daniel, Department of Gastroenterology and Hepatology, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon
Author contributions: Daniel F performed the literature review, drafting, and finalizing of the manuscript.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fady Daniel, Associate Professor, MD, Department of Gastroenterology and Hepatology, American University of Beirut Medical Center, Cairo Street, Hamra, Beirut 1107 2020, Lebanon. fd21@aub.edu.lb
Received: August 27, 2024
Revised: October 29, 2024
Accepted: November 20, 2024
Published online: January 14, 2025
Processing time: 113 Days and 23.7 Hours
Abstract

Gastric polyps are commonly detected during upper gastrointestinal endoscopy. They are most often benign and rarely become malignant. Nevertheless, adequate knowledge, diagnostic modalities, and management strategies should be the endoscopist’s readily available “weapons” to defeat the potentially malignant “enemies”. This article sheds light on the valuable effort by Costa et al to generate a new classification system of gastric polyps as “good”, “bad”, and “ugly”. This comprehensive overview provides clinicians with a simplified decision-making process.

Keywords: Gastric polyps; Polypoid subepithelial lesions; Early gastric cancer; Endoscopic ultrasonography; Electronic chromoendoscopy

Core Tip: Knowing and understanding the risks associated with gastric polyps (GPs) is an important step in diagnosing and managing them. Knowing “when to do”, “what to do”, and “how to do” is important for not missing any significant pre-malignant GPs. A good classification reinforces the clinical prerequisites for endoscopists when dealing with GPs during upper gastrointestinal endoscopy.