@Taiyuan people atrophic gastritis must be cancerous?Expert: Don't be too anxious!

"Doctor, I have chronic atrophic gastritis, is it not far from cancer? I have searched the Internet on the Internet that atrophic gastritis is a pre -cancer lesions. How can this be cured?" I believe that many digestives are believed to be Have you ever encountered it? In the face of this situation, many patients are worried when they have not received a reply, become anxious and nervous. They often look for medicine and even require gastroscopy many times. In this regard, Yang Xin, at the Department of Gastroenterology, Taiyuan Hospital of Peking University, said: patients with atrophic gastritis do not need to be too anxious!

The atrophy of gastric mucosa is affected by various factors

Yang Xin said that the public has a certain excessive interpretation and panic in the atrophic gastritis. "Chronic atrophic gastritis is a recognized pre -gastric cancer disease. , From the development of chronic atrophic gastritis to gastric cancer, the middle must pass through the intestinalization and heterogeneous hyperplasia. It takes a long time. "Worry about the sky."

As for why the stomach shrinks? Yang Xin said that the atrophy of gastric mucosa is affected by various factors: First of all, in recent years, pylori, which has become increasingly well known by the public in recent years. Its infection is an important factor that causes gastric mucosa atrophy and intestinalization. In actual life, many patients with gastric atrophy can detect Helicobacter pylori on the gastric mucosa, and the distribution of Helicobacter pylori and the distribution of gastric inflammation are generally consistent. "It is also related to age." Yang Xin said that the older the age, the worse the self -repair ability of the gastric mucosa. At the same time, if the diet is single and the lack of related nutritional factors, gastric atrophy may occur; Gastrointestinal dynamic abnormalities, hepatobiliary diseases and remote digestive obstruction and other diseases may also cause gastric mucosa atrophy.

"There are unhealthy living habits, such as smoking, alcoholism, foods such as pickling, smoking, fried foods, etc., and eating too salty diet will bring a lot of burden on the stomach." Yang Xin said that if it has appeared, if it has appeared, it has appeared. Gastritis is not treated in time, coupled with the stimulation of bad living habits, under the comprehensive effect, it will cause abnormal gastric mucosa.

There are more treatment methods to target the disease because of the master

Yang Xin said that although the causes of atrophic gastritis are different for each patient, and most of the atrophic gastritis has no obvious symptoms, during treatment, doctors generally give specific treatment for the cause of the cause and the principle of individualization. The plan mainly includes eliminating pylori, protecting gastric mucosa, and improving gastric motility. The purpose of treatment is to remove the cause, relieve symptoms, and improve gastric mucositis.

"We often recommend patients in time to remove Helicobacter pylori." Yang Xin said that the cytotoxic factors of Helicobacter pylori can cause proliferative or atrophic gastritis in the gastric mucosa, and killing Helicobacter pylori can improve the pathological state , Effectively prevent cancer. The consensus opinion of our country pointed out that the chronic gastritis of Helicobacter pylori, regardless of the asymptomatic and complications, should be treated with the root of Helicobacter pylori unless there are competing factors. However, Helicobacter pylori infection often has family aggregation. In order to eradicate thoroughly and avoid re -infection, doctors advocate meals, use public chopsticks, and do not share water cups and toothbrushes. At the same time, other family members are advised to check to eliminate the treatment of the positive person.

In treatment, gastric mucosa protective agents are often used, but it is worth noting that gastric mucosa protective agents can fully play a role only because of standardized treatment. Some, some directly act on the lesion, some are to prevent gastric acid erosion, repair mucosal damage, improve gastric mucosa barrier, and promote erosion healing.

"Traditional Chinese medicine has certain advantages in clinical symptoms of patients with atrophic gastritis and gastric mucosal inflammation." Yang Xin said that in recent years, the use of some Chinese medicines has allowed patients with more atrophic gastritis to relieve symptoms. These proprietary Chinese medicines can not only reverse the atrophic, bowelized or hyperplasia of gastric mucosa, but also alleviate other clinical symptoms.

It is recommended to review gastroscopy regularly without special effects

It is understood that although doctors can develop personalized treatment solutions based on the different causes of each patient, atrophic gastritis has no special effects at present, which has become a major cricket in the treatment. "And many patients will have intestinal epithelialization, alien hyperplasia, cancer, etc. Therefore, it is recommended that patients regularly review gastroscopy to perform pathological examination and follow -up, which is convenient for doctors to monitor the changes in the patient's condition and prevent gastric cancer." Yang Xin said Essence

In the consensus opinion of chronic gastritis in my country, it has clearly stated that: Severial atrophy atrophic gastritis atrophic atrophy and accompanied by intestinalized students are followed up once a year; patients with intestinalization or epithelial tumor degeneration are not accompanied by doctors ( Generally after 2-3 years), gastroscopy examination; patients with low-grade epithelial tumor changes are followed up once every 6 months; patients with high-level epithelial tumors need to be immediately confirmed and underneath Treatment or surgery. "So, overall, atrophic gastritis is formed by the evolution of long -term inflammation of the gastric mucosa. It is a common clinical disease. Doing management and treatment is an important part of preventing gastric cancer." Yang Xin said.

Good habits help control

"We mentioned before that the occurrence of atrophic gastritis has an inseparable relationship with bad living habits, so it is recommended that everyone develop good living habits." Yang Xin said, such as a light diet, avoiding too much inges in salt, and salt, and excessive intake of salt, and to avoid excessive intake of salt, and Eat more fresh vegetables and fruits, etc.; At the same time, avoid long -term smoking, drinking a lot of alcohol, excessive drinking coffee and strong tea; try to avoid eating pickled, fried, smoked and other foods; Patients with indigestion symptoms and are accompanied by obvious mental and psychological factors can give antidepressant or anxiety. "You can also supplement trace elements in an appropriate amount." Yang Xin said that this is because some vitamins, such as folic acid, vitamin B12, vitamin C, vitamin E, selenium, etc. can help delay the processing of atrophic gastritis. Folic acid is closely related to the synthesis, repair and stability of DNA. A moderate amount of folic acid can improve the pathological state of chronic atrophic gastritis tissue and reduce the occurrence of gastric cancer. Essence Shanxi Evening News reporter Zhang Mengying

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