What causes a protrusion at the gastric fundus and cardia, and what should be done about it?

Jun 05, 2023 Source: Cainiu Health
Dr. Zhou Chao
Introduction
The bulge at the gastric fundus and cardia may be caused by physiological factors or pathological conditions such as gastric polyps and cardia polyps, and treatment should be selected according to the specific underlying cause. In addition, it could also result from gastric cysts, gastrointestinal stromal tumors, or gastric leiomyomas. It is recommended to seek timely medical evaluation and receive standardized treatment to minimize adverse effects of the disease.

Bulging at the gastric fundus and cardia may be caused by physiological factors, or it may result from pathological conditions such as gastric polyps or cardia polyps. Different treatment approaches should be selected based on the underlying cause. The specific analysis is as follows:

I. Physiological Factors

Cardiac bulging is a morphological variation caused by congenital factors and represents normal tissue of the cardia; therefore, no special treatment is required.

II. Pathological Factors

1. Gastric Polyps

Gastric polyps may be associated with Helicobacter pylori infection, bile reflux, or atrophic gastritis. When located in the gastric fundus, they may cause a visible bulge in this area. Treatment options include high-frequency electrocoagulation resection under gastroscopy, laser ablation, or microwave therapy.

2. Cardia Polyps

Cardia polyps are typically growths arising from the mucosal lining of the cardia. They may cause symptoms such as choking or pain during eating, manifesting as described above. Treatments include high-frequency electrocoagulation, laser therapy, or argon plasma coagulation.

In addition, bulging may also be caused by gastric cysts, gastrointestinal stromal tumors (GISTs), or gastric leiomyomas. It is recommended to seek timely medical evaluation and standardized treatment at a hospital to minimize adverse effects of the condition.


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