What to do about wasting in atrophic gastritis, how to treat atrophic gastritis.

Symptoms of atrophic gastritis include bloating, early satiety after eating, or sometimes acid reflux and heartburn. It often manifests as vague epigastric pain, fullness, belching, loss of appetite, or weight loss, anemia, etc., and is nonspecific. It is a polygenic disease and precancerous lesion.

The symptoms and signs of chronic atrophic gastritis are non-specific and cannot be used as the basis for diagnosis, and the diagnosis is mainly based on fiber gastroscopy and gastric mucosal biopsy.

1) Age: mostly in middle age or above, with a long course of disease, and often a history of chronic superficial gastritis.

2) Symptoms and Signs:

Long-term indigestion, stomach fullness and discomfort, poor appetite, fatigue, emaciation, anemia, etc.

3) Fiber gastroscopy:

The gastric mucosa is discolored, thinned, vasofluoroscopy, and proliferative. The normal gastric mucosa is orange-red, grayish-white, grayish-yellow or gray-green when atrophied, and the mucosa color of the same part is also different, and the red-strong parts are also grayish-white, and the grayish-white and grayish-yellow parts also have slightly raised small red spots or erythema; The extent of the atrophic mucosa is also inconsistent, and it can be diffuse, localized, or even small, and the boundary is often not obvious. Due to the atrophy of the gland, the gastric mucosa is thinned, and the blood vessels are faintly visible, and the small blood vessels in the mucosa can be seen in the early stage of atrophy, and the large blood vessels under the mucosa can be seen in the severe cases, which are dark red dendritic.

After the gland atrophy, the glandular fossa may be proliferated and prolonged or there are manifestations of intestinal metaplasia, the mucosal layer becomes thickened, and the submucosal blood vessels cannot be seen at this time, only the mucosal surface is rough and uneven, granules or nodules, there is a sense of stiffness, and the luster also changes.

4) Pathological examination:

It is manifested by atrophy of the gland propria, thickening of the muscularis of the mucosa, inflammation of the membrane propria, formation of lymphatic follicles, intestinal metaplasia or pseudopyloric metaplasia (optional).

5) X-ray barium swallow examination:

Mucosal folds can be reduced and flattened, and antral gastritis can be seen that the antral outline is blunt and serrate, sinus spasm, and there can also be mucosal disorders, filling defects, centripetal stenosis and other changes. Normal or absent gastric acid on gastric juice analysis.

Commonly used drugs: ranitidine or sucralfate, etc.

Have a great day!

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