High frequency electrocoagulation resection - effect analysis and prognosis observation for gastric polyps under painless gastroscopy

Sep 21, 2026

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High-frequency electrocoagulation resection effectiveness and prognosis are evaluated for gastric polyps treated under painless gastroscopy. Sixty-four patients were randomly allocated to an experimental group (32) and a control group (32). Both groups received basic treatment drugs for 8 weeks and rabeprazole sodium enteric-coated capsules for 4 weeks, then underwent resection under different gastroscopy conditions. Symptom score improvements, postoperative gastric mucosal healing, comprehensive curative effect, and 6-month recurrence after endoscopic follow-up are compared, with the experimental group showing superior overall outcomes and a favorable safety profile.

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® Observational Study High frequency electrocoagulation resection effect analysis and prognosis observation in the treatment of patients with gastric polyps under painless gastroscopy Xiaomei Chen, MMa , Dandan Zhang, MMa , Mei Chen, MMa ,* | Abstract
To explore high frequency electrocoagulation resection effect in treatment of patients with gastric polyps under painless gastroscopy. Sixty-four patients with gastric polyps were randomly divided into experimental group (32 cases) and control group (32 cases) . Experimental group received basic treatment drugs for 8 weeks, and then treated with painless gastroscope highfrequency electrocoagulation resection. Control group was also given basic treatment drugs for 8 weeks, and then received high-frequency electrocoagulation resection under ordinary gastroscope. The patients in both groups were given rabeprazole sodium enteric coated capsules for 4 weeks. The improvement of symptom score, postoperative gastric mucosal healing and comprehensive curative effect of the 2 groups were observed after treatment. The patients with polyps cured under gastroscopy were subjected to a 6-month follow-up period during which gastroscopy was performed to assess the recurrence of polyps. Symptom scores comparison after treatment showed that experimental group had obvious advantages in improving epigastric fullness, fatigue and loose stool in patients with gastric polyps (P < .01 or P < .05) . Gastric mucosa healing in experimental group was better at 2 weeks after operation (P < .05), showing no difference 4 weeks after operation (P > .05) . Comprehensive curative effect comparison showed that the experimental group was better (P < .01), showing no difference in long-term efficacy (P > .05) . In treating patients with gastric polyps, painless endoscopic high-frequency electrocoagulation resection effect is better, which not only promotes postoperative rehabilitation in patients but also reduces complications incidence, demonstrating a high level of safety. Therefore, it is highly recommended for widespread adoption and application. | | --- | | Abbreviation: Gc = control group, GE = experimental group. | | Keywords: aortic regurgitation, arterial switch, congenital heart disease, transposition of the great arteries | 1. Introduction Gastric polyps are benign growths that protrude into the stomach and originate from the gastric mucosa or submucosa. The precise causes and mechanisms responsible for gastric polyps remain partially unknown. Notably, some types of gastric polyps, particularly adenomatous and proliferative polyps, are considered precancerous and pose a risk of developing into gastric cancer.[1,2] Patients with gastric polyps typically do not exhibit specific clinical symptoms. The gold standard for diagnosis involves gastroscopy and histopathology. Advancements in endoscopic technology have led to a steady increase in the detection rate of gastric polyps. In Western medicine, the primary approach involves endoscopic polyp electrocoagulation and resection, known for its simplicity and reduced patient discomfort. However, challenges persist, including polyp recurrence post-surgery and limited improvement in clinical symptoms in some cases.[3,4] This recurrence may be attributed to the persistence of underlying pathological factors, such as phlegm and blood stasis, even after polyp removal. These factors can lead to the continuous formation of new polyps, necessitating repeated polypectomies under gastroscopy. These issues impose significant economic and psychological burdens on patients. Endoscopic high-frequency electrocoagulation resection is the most common surgical procedure for gastric polyps. Nonetheless, there is ongoing debate regarding the necessity of painless gastroscopy during the procedure. In this study, 64 patients with gastric polyps from January to December 2021 were analyzed to evaluate the effectiveness of highfrequency electrocoagulation resection

FAQs

How were patients with gastric polyps assigned to study groups?

Sixty-four patients were randomly divided into an experimental group (32) and a control group (32), based on the different treatment and gastroscopy approach used.

What treatment differences were applied between the experimental and control groups?

Both groups received basic treatment drugs for 8 weeks and rabeprazole sodium capsules for 4 weeks. The experimental group received high-frequency electrocoagulation resection under painless gastroscopy, while the control group received it under an ordinary gastroscope after conventional treatment.

What outcomes were assessed to evaluate effectiveness and prognosis?

Symptom scores, postoperative gastric mucosal healing, comprehensive curative effect, and 6-month recurrence of gastric polyps assessed by gastroscopy follow-up were evaluated.

Sep 21, 2026

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