Atrophic gastritis - is the stomach shrinking?How high is the cancer change rate?Can you cure?How to review regularly?

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Atrophic gastritis - is the stomach shrinking?How high is the cancer change rate?Can you cure?How to review regularly?

2022-01-25 18:04:19 51 ℃

Atrophic gastritis is a chronic gastric disease with high detection rate in recent years. According to data, in the 55-year-old people, the detection rate exceeds half.

However, many people have a diagnosis of gastroscopy, not very understanding, even "pseudo-science" also nonsense, pushing the wave, it is afraid of the world, such as a fake science I saw today, is a self-proclaimed claimant of Putian Hospital The "Expert" of the deputy chief physician said:

Description of fake experts on atrophic gastritis

Obviously, he thought that the stomach atrophy was wrinkled, narrowed, like a semi-dried eggplant, need to eat it.

For ordinary Volkswagen, many people think that atrophic gastritis is a stomach, the stomach mucosa is wrinkled, and only one step from the gastric cancer, etc., causing the patient's great mental pressure, which is waste of medical resources, also Heavyweight patients.

So, what is the truth?

What is atrophic gastritis?

Simply put, atrophic gastritis is not a small gastric volume, nor is it crumpled in the stomach wall. It is the stomach mucosa wrinkle wall becomes smooth. The mucosal layer is thinned, and the gland of the digestion of the digestible liquid is reduced. .

Under the gastric mirror, you can see the color of the gastric mucosa, the blood vessels are revealed; the pathological examination may see the gland disappearance or decrease, or intestinal chemical, shaped hyperplasia. Whip can be a focalism or a full stomach.

Due to the decrease in gland, it affects the digestive function. It often manifests as the pain of the upper abdomen, bloating, qi, loss of appetite, loss, anemia, etc., and shallow gastritis are not easy to distinguish; there are quite a few patients, there is no obvious symptom.

Diagnosis of atrophic gastritis mainly based on pathological reports.

There are a lot of reasons for shrinking, such as age, Helicobacter pylori infection, drug stimulation, bad habits, autoimmune factors, genetic, etc.

With the growth rate of age, the incidence of this disease also increases. The heavier the degree of lesion is also, so that chronic atrophic gastritis is the degenerative change of the middle-aged and aging gastric mucosa, it is a "semi-biological" phenomenon.

Will atrophic gastritis will cancer?

The occurrence of gastric cancer is a multi-factor involved, and the result of long-speaking accumulation is not to say cancer.

Although atrophic gastritis is listed as cancer diseases, not all atrophic gastritis will cancer, and most of the atrophic gastritis will not develop into gastric cancer. Only few partially have developed to the insect of the impersulance stage. In the true sense of cancer, the ratio of cancer changes is greatly increased.

Studies have shown that atrophic gastritis and intestinal development of gastric cancer are 0.8% and 1.8%, respectively, and the expredational hyperplasia is 0.6% to 8%, while severe shaped hyperplasia has more than 85%.

A study from the Netherlands showed that there were less than 2% of atrophic gastritis and intestinal cases of atrophic gastritis and intestinal abortion, and the annual cancer variable rate was 0.25%.

At the intestinal stage, the overall risk of gastric cancer is still relatively low, and the probability of cancer is about 5%.

Of course, this ratio may be slightly higher in my country.

Follow-up for 10 years of exproprion gastroscopy found:

The cancer variation rate of mild shaped hyperplasia is 2.53%, moderate is 4% to 8%, and the weight is 10% to 83%; the low-level epithelial endopathy is developed into gastric cancer is 9%, high-level epithelial endoma change 74%.

Therefore, atrophy and intestinal chemicals have certain cancer rates, but the cancerous process is relatively long, and the cancer variable machine is relatively low. When the condition is further developed, the cancer rate is significantly increased, which is significantly increased by mildness. The variety of the variable proliferation cancer changes rise.

Mechanism of "Inflammation - Atrophy - Cancer"

After atrophy, as long as the cause of the disease is taken, the symptomatic treatment will not happen, or delay the exquisite hyperplasia, which will not develop into gastric cancer.

Therefore, simple atrophic gastritis is not accompanied by intestinalization and dissemination, as long as the cause (including the eradication of Helicobacter pylori, improving living habits, deactivating the stomach drug, etc.), there is no need to treat, only 1 - 2 years review once stomach frame.

For the excessive hyperplasia and medium weight intestinal chemists, close gastroscopy follow-up, severe exhlicate hyperplasia, can choose gastroscope to remove the lesion mucosa, can effectively block the cancer process.

Can atrophic gastritis reverses?

Previous doctors generally believe that atrophic gastritis is irreversible and cannot restore the gastric mucosa to normal level.

However, research in recent years has shown that some stages can be reversed by standardization, such as light concentration shrinking;

But once a foreign hyperplasia occurs, it is irreversible.

The recognized treatment principles include: removing cause, symptomatic treatment, protection and repairing gastric mucosa.

1. Remove the cause:

Improve living habits, work on time, stay away from smoke, not staying up late, stay away from high salt, high fat, barbecue, smoked, pickled food, processing meat, red meat, eat more fresh fruits and vegetables, whole grains; stop unnecessary Chinese and Western Drug; keep optimism, etc .;

2, eradicate Helicobacter pylori:

There is evidence that in the intestinal stage, Helicobacter pylori is eradicated, and some intestinalization can be reversed; even if it cannot be reversed, the condition can be stable, stagnated, at least the status quo;

Therefore, no matter any stage of atrophic gastritis, it is necessary to check and eradicate Helicobacter pylori, and review each year.

3, symptomatic treatment

For symptomatic symptomatic treatment to eliminate digestion, reduce inflammatory stimulation and gastric mucosa injury. For example, for different performance, gastrointestinal dynamic drugs, antispasmodic drugs, disadvantaged drugs, acid acid agents, weak acid agents, antidepressants, etc.. 4, repair and protect the gastric mucosa

Prevent and treat gastric mucosa damage, protect gastric mucosa, increase gastric mucosa blood flow, can enhance gastric mucosa barriers; promote the growth and tissue repair of epithelials, and have healing of erosion, ulcer. Specific drugs are: colloidal glue, rehabilitation fluid, aluminum carbonate plate, aluminum glee, Ruibutt, prostaglandin, tiphone, glutamine, etc.

5, Chinese medicine and vitamins

Studies have shown that Sino-Compacted Hurricane and Spring, Morrodan's therapeutic effect of atrophic gastritis;

Vitamin B12, folic acid, selenium, and lambstrostatic extracts, which help to improve the stomach mucosa and prevent progression.

Regular reviews is the most important!

I have to follow the regular gastroscopy to monitor the changes in the disease.

Once the progression progresses, it is necessary to actively intervene, and if necessary, the surgery is underway. Even in early gastric cancer, the 5-year survival rate is also 97-100%.

Once delayed, the progress period or even late gastric cancer, 5 years comprehensive survival rate is less than 40%.

How do you review it? According to the gantry report and pathological results, it is recommended to follow up -

Atrophic gastritis is not associated with an intestinal and shaped hyperplasia, can follow up every 1 to 2 years,

Medium ~ severe atrophy or with colorectal and colorectal follow-up every 1 year,

Mild shaped hyperplasia (biopsy is not taken from cancer) once every 6 months,

Severe exhort hyperplasia must review the internal mirror and biopsy pathological examination, and if necessary, surgery or inner mirror under local treatment.

In short

Chronic atrophic gastritis is not terrible, intestinal and proficiency hyperplasia should develop into a stomach cancer, is a long process, not one, about 3-5% atrophic gastritis patients will eventually change to gastric cancer, and generally need to pass through Stage of different hyperplasia.

This can be considered a small probability event, or it can also think that almost no occurrence, unnecessary cause too much anxiety and worry.

Only in the stage of not typical hyperplasia (shaped hyperplasia, non-typical hyperplasia, epithelial variation), it is necessary to be highly vigilant, strengthen follow-up and standardized treatment.

In short, through active formal treatment, many atrophic gastritis patients will be cured;

Or at least maintain the status, as long as it is no longer progress, this is also a good treatment.

Especially some elderly people, as long as regular reviews, always monitor its progress, once the high-level epithelial endoscopic endoscopic endoscopic is removed, it will not suffer from cancer;

For Helicobacterium negative, no clinical symptoms, as long as you pay attention to review, don't even need it!

Therefore, confidence is also necessary, don't be frightened by false propaganda on the Internet, you have to know how popular the panic will aggravate.