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Может быть единичным или множественным [2](https://centr-hirurgii-spb.ru/diseases/polipy-v-zheludke/). Если выявлено большое количество полипов, локализованных на большой площади слизистой, ставят диагноз **полипоз** [2](https://centr-hirurgii-spb.ru/diseases/polipy-v-zheludke/). \n\nНекоторые виды полипов желудка: \n* **Гиперпластические** — самые распространённые, обычно небольшие (до 1 см) [5](https://citilab.ru/articles/polipy/)[7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/). \n* **Аденоматозные** — образуются из железистой ткани желудка, имеют высокий риск малигнизации (перерождения в рак) [5](https://citilab.ru/articles/polipy/). \n* **Воспалительные (грануляционные)** — формируются на фоне длительного воспаления или повреждений слизистой, могут кровоточить [5](https://citilab.ru/articles/polipy/).\n\n## Причины\nПричины образования полипов желудка до конца не изучены, но выделяют несколько факторов, которые могут способствовать их появлению [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/): \n* **Хронический гастрит** — длительное воспаление слизистой оболочки желудка, вызванное бактерией Helicobacter pylori или другими факторами [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/). \n* **Наследственность** — некоторые генетические синдромы, такие как синдром Пейтца-Егерса и семейный аденоматозный полипоз, повышают риск развития полипов в желудке и кишечнике [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/). \n* **Длительный приём ингибиторов протонной помпы** — эти препараты, используемые для снижения кислотности желудка, могут способствовать образованию фундальных полипов [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/).\n\n## Симптомы\nВ большинстве случаев полипы желудка не вызывают никаких симптомов, особенно если они небольшого размера [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/). Обнаружить их удаётся случайно при проведении эндоскопии по другим причинам [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/). \n\nОднако если полипы достигают больших размеров или расположены в определённых участках желудка, могут возникать следующие симптомы [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/): \n* боли в животе [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/); \n* тошнота и рвота, особенно после еды [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/); \n* чувство переполнения в желудке, даже после небольшого количества пищи [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/); \n* кровотечение — наличие крови в стуле (мелена) или рвотных массах, может быть признаком травмирования полипа [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/); \n* анемия — хроническая потеря крови из полипа может привести к снижению уровня гемоглобина в крови [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/); \n* изжога и отрыжка — могут быть связаны с нарушением моторики желудка [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/).\n\n## Диагностика\nОсновной метод диагностики — **эзофагогастродуоденоскопия (ФГДС)** [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/)[12](https://evimeds.ru/o-klinike/stati/endoskopicheskoe-udalenie-polipov-v-zheludke/). При эндоскопии врач определяет количество, размеры и расположение полипов, оценивает их внешний вид [12](https://evimeds.ru/o-klinike/stati/endoskopicheskoe-udalenie-polipov-v-zheludke/). Обязательно выполняется биопсия полипа — берутся кусочки на гистологическое исследование [12](https://evimeds.ru/o-klinike/stati/endoskopicheskoe-udalenie-polipov-v-zheludke/). \n\nВ некоторых случаях могут быть назначены дополнительные исследования, например: рентгенография желудка с барием, УЗИ органов брюшной полости [7](https://oren.medguard.ru/otdeleniya/endoskopicheskaya-diagnostika/gastroskopiya/udalenie-polipov-v-zheludke/).\n\n## Лечение\nЛечение полипов желудка зависит от их морфологических характеристик, локализации, размера и общего состояния пациента [11](https://doct.ru/diseases/polip-zheludka.html). Некоторые методы: \n* **Консервативная тактика** — применяется при небольших гиперпластических полипах без клинических проявлений [11](https://doct.ru/diseases/polip-zheludka.html). Пациенты с такими образованиями подлежат динамическому наблюдению с регулярным эндоскопическим контролем и биопсией для исключения признаков дисплазии или малигнизации [11](https://doct.ru/diseases/polip-zheludka.html). \n* **Эндоскопическая полипэктомия** — основной метод лечения большинства полипов, проводится с использованием гибкого эндоскопа [11](https://doct.ru/diseases/polip-zheludka.html). 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