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