HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Had Endoscopy Done Where A Gastric Adenomas Was Found In

Posted on Tue, 28 Mar 2023

Question: Had endoscopy done where a gastric adenomas was found in the duodenum. It was benign and completely removed. I came back a month later and doctor did a colonoscopy which found no adenomas. she also checked the site where she removed the gastric adenoma and said all good. Doctor asked me to come back in 5 years. But I was reading that people with gastric adenomas should come back 6-12 months. Is my gastro giving me bad advice? I brought this up to my doctor and she said 5 years because my adenoma is small, only one and it had what she called

Answered by Dr. Ramesh Kumar (18 hours later)

Brief Answer:
Ideally should be repeated after an year

Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service,
As per text it should be repeated after an year whether growth was small or large.
5 years is two long a time.
In 1 or 2 year it should be done(check gastroscopy).

Now why she said 5 years can't be explained because I can't guess what her thoughts were.
Regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Ramesh Kumar (3 minutes later)

Brief Answer:
Follow up.

Detailed Answer:
Hi there,
I can't say that it's bad advice but what I can say is that suggestion is not as per medical text.
Text book approach is repeat scopy after an year.
5 year is too long a time.
You could ask her to get the check scopy done after one year.
Thanks!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Ramesh Kumar (1 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Ramesh Kumar (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Ramesh Kumar (2 minutes later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (59 minutes later)

Thank you. Are you suggesting that I have to do a annual scope? Or just a year after then every 5 years after that?

Follow up: Dr. Ramesh Kumar (13 minutes later)

Her exact explanation was. Because it was very small and it was classified as low grade dysplasia. She said come back in 5 years

Follow up: Dr. Ramesh Kumar (13 minutes later)

Just be clear becausenunsaid to check if the growth of adenoma was small or large. Let me clarify. She cut out the adenoma. And said that it was small with low grade dysplasia.

Follow up: Dr. Ramesh Kumar (11 minutes later)

sorry miss spelled on the last text.
Just to be clear because you said to check i the growth of adenoma was small or large after 1 year. Let me clarify, she cut out the adenoma, said that it was small and had low grade dysplasia. and because of no history and location. to come back in 5 years.

Answered by Dr. Ramesh Kumar (4 days later)

Brief Answer:
Follow up.

Detailed Answer:
Hello,
Actually there is no bookish answer for this thing.
Every doctor would have a different opinion but being a conservative one(don't take risk on my patients).I would do first check scopy after an year and if t turns out to be clear then would suggest for 5 yearly follow up.
As per my view whether it was small or large it was something which is unnatural..So we should check after an year.
Why to take risk even 0.01% when we have all facilities and procedures?
Hope this solves your query,
Regards!

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar