It s hard to spot early! Why is atrophic gastritis a very critical stage of gastric cancer?

This is because atrophic gastritis is a precancerous disease of gastric cancer, so atrophic gastritis is a very critical stage of gastric cancer.

It's because atrophic gastritis makes you particularly dislike eating, which means that your stomach has begun to be different from others.

Because atrophic gastritis progresses further, it may be accompanied by intestinal intestinization and dysplasia, which are not the same disease name, but a pathological term that indicates changes in the gastric mucosa.

Among them, the carcinogenesis rate of intestinal transformation is very low; Only dysplasia (also called atypical hyperplasia, dysplasia, intraepithelial neoplasia) is a precancerous lesion in the true sense, and at this stage, the risk of gastric cancer increases sharply, which needs to be closely controlled and detected!

Because atrophic gastritis may slowly develop into gastric cancer, it is important to treat atrophic gastritis in a timely manner.

Gastritis is the most difficult to detect in the early stages because the body does not experience any pain. When some elderly people have indigestion symptoms, they always think that they have eaten bad food but never think that they have a disease. The most typical feature of atrophic gastritis is that a person's appetite becomes worse and worse, and it slowly develops into stomach cancer.

As long as you go for a check-up in time, you can reduce the symptoms. When you are 50 years old, you must have a gastroscopy once a month to prevent the occurrence of diseases. <>

Atrophic gastritis is not contagious, and you don't need to choose chopsticks and spoons. However, once you have Helicobacter pylori, you will be able to pass it on to others, because Helicobacter pylori will always be in the stomach. If you are infected, you will be in danger to the people around you, so you should not have physical contact with them.

Because after the appearance of this disease, the human body will constantly lose its defenses. If cancer persists in the body, stomach cancer will occur frequently. <>

If you want to reduce the phenomenon of stomach cancer, you must not smoke or drink, and maintain a good mood every day. Boys always smoke to eliminate their troubles when they are lonely, and the habits they developed when they are teenagers will definitely not be changed when they are old. Only when students practice and live a good life can they be free from illness in old age.

Not only can you not do this, but you can't eat some fried food. Because most young people like the fast food lifestyle, eating too much will cause great damage to the stomach. <>

In general, we must eat more stomach-nourishing foods in our lives, so as not to cause high-risk and frequent occurrence of gastric cancer. You can eat more rice and steamed buns at the time of your usual meals, so that the stomach function will not gradually weaken. If you want to prevent atrophic gastritis from developing into stomach cancer, you must eat less high-salt foods and pickled foods.

Don't think that steamed buns with pickles are very delicious, and they are very harmful to the body.

Atrophic gastritis is not a precursor to stomach cancer.

Because the probability of atrophic gastritis not cancerous is still relatively low, most atrophic gastritis can be **. Nowadays, the drugs for gastritis are very advanced, and atrophic gastritis can be treated under normal circumstances, so as long as this situation can be detected early, diagnosed early, and diagnosed early. Continuous**, in general, is possible**.

Atrophic gastritis, if not timely, can form gastric ulcers, long-term gastric ulcers and atrophic gastritis are prone to gastric cancer and malignant transformation. But not all atrophic gastritis will necessarily develop into cancer. So atrophic gastritis is not a precursor to stomach cancer.

Atrophic gastritis is actually an important stage in the development of gastric cancer, and the occurrence and development of gastric cancer generally need to go through the stages of chronic non-atrophic gastritis-atrophic gastritis-intestinal metaplasia-dysplasia-gastric cancer. Atrophic gastritis can be seen that the folds on the surface of the gastric mucosa are flattened or disappeared under gastroscopy, the gastrointestinal membrane is red and white, and some blood vessels may be exposed, or there are granular or nodular manifestations.

In reality, atrophic gastritis is not uncommon, and epidemiological investigations and analysis results show that about some of the patients who undergo gastroscopy and gastric mucosal examination are found to have atrophic gastritis, so attention should be paid to it in daily life to prevent atrophic gastritis from developing into gastric cancer.

1.Helicobacter pylori (HP) test and**

Studies have found that HP infection is an important factor in the occurrence and development of intestinal metaplasia and carcinogenesis of atrophic gastritis, and the results of a meta-analysis have shown that the incidence of atrophic gastritis is significantly higher in HP-positive patients. Therefore, when patients with atrophic gastritis are found on examination, a further C14 breath test is recommended to detect the presence of concomitant HP infection. If the test result is positive, then it is necessary to carry out a standardized prazole antacid combined with a dual antimicrobial drug plus a bismuth quadruple **hp******.

2.Pay attention to your diet and lifestyle habits

In addition to HP infection, poor diet and lifestyle habits are another important cause of atrophic gastritis. Studies have found that smoking, long-term alcohol consumption, lack of fresh vegetables and fruits, micronutrient deficiency, frequent consumption of moldy, pickled, smoked and fried foods, and salty diet will increase the risk of atrophic gastritis and even increase the possibility of cancer. Therefore, it is necessary to pay attention to correcting the above bad diet and living habits, and at the same time you can eat more fresh vegetables and fruits, and you can also appropriately supplement a variety of vitamins, folic acid and elemental selenium to help the recovery of gastric mucosal glands.

3.Traditional Chinese medicine conditioning

Since some patients with atrophic gastritis will have different degrees of indigestion, gastric distension and other symptoms, and are intolerant of long-term use of Western medicine, then at this time, they can use traditional Chinese medicine or Chinese patent medicine to regulate, and can nourish the stomach and spleen, regulate qi and moderate under the dialectical of Chinese medicine practitioners, so as to gradually restore the health of the stomach.

Finally, I would like to remind everyone that since most of the early atrophic gastritis has no symptoms, it is difficult to be detected in time, although low-risk atrophic gastritis does not need routine monitoring, but if there are symptoms of anemia, we must pay attention to regular physical examinations, and it is necessary to have Helicobacter pylori infection, and gastroscopy should be performed if necessary, so as to detect and ** in time.

Atrophic gastritis refers to the atrophy of the gastric mucosa and glands, the number is decreasing, and the gastric mucosa is thinning, which is a chronic digestive system disease; Usually life must be regular, go to the hospital regularly for physical examinations, have good living habits, do not stay up late, and do not eat particularly spicy food.

Chronic atrophic gastritis is related to many factors, such as dietary habits, autoimmunity, bacterial infections, etc. Currently, Helicobacter pylori infection is the most important cause of chronic atrophic gastritis**. In China, most of the Helicobacter pylori infection is acquired in childhood, and some of the infected patients will develop from non-atrophic gastritis to chronic atrophic gastritis.

So, how exactly does Helicobacter pylori cause atrophic gastritis? To answer this question, we must first understand our stomach.

The stomach is like a bag, the upper end is connected to the esophagus, and the lower end is connected to the duodenum.

The stomach consists of four main parts: the cardia, fundus, gastric body, and pylorus (including the pyloric canal and pyloric sinus). The cardia is the entrance to the stomach, and the pylorus is the exit of the stomach.

After Helicobacter pylori (HP for short) enters the stomach, the flagella at the end are like the tail of a fish, and by swinging, they can push the bacteria forward through the gastric mucosal layer to the surface of epithelial cells, and settle down. This spiral-shaped or rod-shaped bacterium is mainly distributed in the pyloric area of the stomach, so it is named Helicobacter pylori.

Helicobacter pylori is a group of recalcitrant molecules that are not only tenacious but tolerant of stomach acid; And it is very "homely", once it settles on the surface of the epithelial cells of the gastric mucosa, it will not leave easily. On the one hand, Helicobacter pylori has to absorb nutrients from the stomach to sustain a large family. On the other hand, they will also discharge garbage toxins and inflammatory factors everywhere on the gastric mucosa, destroying the structure and function of the gastric mucosa; Slowly, the gastric glands on the gastric mucosa shrink in size, decrease in number, and even intestinalize (normal epithelial cells in the gastric mucosa become a new type of cell similar to those in the small intestine or colon mucosa).

Chronic atrophic gastritis occurs when the gastric mucosa shrinks or enterizes, and patients with chronic atrophic gastritis have an increased risk of gastric cancer.

There is a "gastric cancer trilogy" in medicine: gastritis Gastric ulcer Gastric cancer, especially chronic atrophic gastritis, is considered to be the "neighbor" of gastric cancer. Chen Yulong said that chronic atrophic gastritis is likely to be part of the degenerative changes of the body's whole body aging, and medical scientists have found that with age, the incidence of atrophic gastritis is also increasing, just like with age, the atrophy of the gastric mucosa is also a part of aging.

It is hard to imagine that the elderly are aging in all parts of the body, only the stomach is still young. Therefore, the diagnosis of atrophic gastritis should be treated in combination with pathology and differentiation. In response to the question of "how far is it from gastritis to gastric cancer", Chen Yulong, chief physician of the Department of Gastroenterology of the First Affiliated Hospital of Zhengzhou University, said

Worlds apart. ”

In the gastroenterology clinic, many patients with gastritis ask in fear whether it will develop stomach cancer. How long does it take for Helicobacter pylori infection to cause cancer? How high is the rate of cancer?

This question is as bad as how long hepatitis B virus infection can cause primary liver cancer. However, even if the rate of cancer is not high, it is considered entirely possible for everyone who is infected. Fears of stomach cancer lead to depression, anxiety, somatoform disorders and even suicide.

Chen Yulong said that from this level, the harm of psychological disorders is greater than that of Helicobacter pylori.

Chronic atrophic gastritis can be divided into types A and B. Type A gastritis, also known as autoimmune gastritis, is often accompanied by pernicious anemia, and the lesions are mostly in the body and fundus. Type B gastritis, also known as simple atrophic gastritis, is mainly in the antrum.

Most of the patients with chronic atrophic gastritis in China belong to type B.

Risk factors for chronic atrophic gastritis:1.Helicobacter pylori infection.

2.Long-term emotional stress and overwork.

3.Irregular diet.

4.Long-term smoking and alcohol consumption.

5.Eat high-temperature processed and pickled foods, raw and cold foods, and high-salt diets.

6.Eat overnight dishes often.

7.People with low intake of fresh vegetables and fruits.

8.Bile reflux.

9.History of NSAIDs.

Clinical symptoms of patients with chronic atrophic gastritis:Clinical symptoms are not specific.

Common symptoms include vague abdominal pain, abdominal distension and discomfort, loss of appetite, heating, acid reflux, etc.

Chronic atrophicDiagnosis of gastritis

Based on gastroscopy or pathological biopsy results.

Risk of developing gastric cancer in chronic atrophic gastritis:Chronic atrophic gastritis itself is an independent factor in the development of intestinal metaplasia and dysplasia. Patients with chronic atrophic gastritis with intestinal metaplasia or dysplasia are at risk of developing gastric cancer.

Therefore, it is important for such patients to have regular gastroscopy for early stage**.

1. Some patients are prone to acid reflux, heartburn, belching, hiccups and other symptoms, mainly caused by excessive gastric acid secretion; 2. Some patients will have symptoms such as abdominal distention, abdominal pain, early satiety, and no hunger, mainly due to the decrease in gastric acid secretion, resulting in symptoms caused by weakened digestive function. Atrophic gastritis is generally not contagious, unless it is chronic atrophic gastritis caused by Helicobacter pylori infection, eating with the patient, it is possible to transmit Helicobacter pylori through utensils or food, but the probability of infection is quite low, so you don't have to worry. It should be emphasized that if the patient undergoes electronic gastroscopy plus pathological examination to confirm gastric mucosal atrophy, it is atrophic gastritis.

It is necessary to be under the guidance of a gastroenterologist and if it is caused by Helicobacter pylori infection, it must be Helicobacter pylori.

The main symptoms are acid reflux, heartburn, belching, indigestion, nausea and vomiting, low appetite, anemia, etc.; Atrophic gastritis is generally not contagious.