Gastritis, gastric cancer medical certificate = notice?
In routine clinical work, often encountered in some patients took the hospital endoscopy report card are worried about coming to consultation: a doctor, my endoscopy results of chronic atrophic gastritis, atrophic gastritis, hearing someone say will develop into cancer, Is it true?
Are subject to various pathogenic factors, the long-term stimulation, prolonged unhealed chronic inflammation of gastric mucosa, gastric glands have been destroyed, shrinking the number of reduced or disappeared, mucosal thinning, known as chronic atrophic gastritis. Inflammation occurs when the gastric mucosal damage and atrophy, the body will automatically be repaired, but errors may occur in the repair process, forming the so-called atypical hyperplasia. Atypical hyperplasia can be divided into mild, moderate and severe degree, and only moderate or severe dysplasia and gastric cancer was only considered to be related to the occurrence of precancerous lesions. It is noteworthy that, atrophic gastritis and dysplasia there is no specific clinical symptoms, endoscopy, while only in the gastric mucosa organizations histopathological examination, in order to do the right diagnosis.
According to scientists, projection, normal gastric mucosa through chronic inflammation, atrophic gastritis, dysplasia to cancer may take 16 to 24 years. During this long process, in which the living environment and living habits on the development of the disease have a major impact. High-salt diet, I am pleased to eat preserved and smoked foods, the Food and lack of vitamins, are unfavorable factors for patients. In fact, only a small number of patients developed chronic gastritis atrophic gastritis, and only about 1% without making the treatment of atrophic gastritis, gastric cancer may develop. Thus, excessive fear will become a chronic atrophic gastritis, gastric cancer is unnecessary, there is no scientific basis.
So how to properly deal with chronic atrophic gastritis do?
First to avoid factors that can cause gastric mucosal injury, such as spicy, salty food, eat less salted and smoked foods, eat vitamin-rich fresh vegetables and fruit.
On a case of a chronic atrophic gastritis Helicobacter pylori to change and there is (HP) of those infected, especially those with a family history of gastric cancer patients or from the high incidence of gastric cancer should be in a doctor’s guidance downward Helicobacter pylori eradication therapy, one week course of treatment it usually takes three or four drugs taken together can effectively kill H. pylori. Eradication of Helicobacter pylori, the gastric mucosa of chronic inflammation can be gradually dissipated, thereby preventing the further development of lesions, but has already shown signs of shrinkage mucosa, then the reversal less likely.
Accompanied by intestinal metaplasia and dysplasia in patients with chronic atrophic gastritis, should be under the guidance of a doctor conditions under regular endoscopy for early detection of possible early gastric cancer, early treatment.
Chronic atrophic gastritis can not make surgery help? For most patients, surgery is not necessary. Only chronic atrophic gastritis associated with severe atypical hyperplasia, and gastric cancer can not be identified only when the need for surgery.
Comments
Leave a Reply
WordPress ·