Can chronic atrophic gastritis be cured?

Written by Li Ying
Gastroenterology
Updated on August 31, 2024
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Chronic atrophic gastritis is primarily a chronic digestive system disease caused by atypical hyperplasia. It is mainly characterized by upper abdominal dull pain, bloating, loss of appetite, weight loss, anemia, etc., and lacks specificity. It is a disease caused by multiple pathogenic factors and is a precancerous lesion. There are many causes, including Helicobacter pylori infection and dietary factors, among others. Moreover, treatment for atrophic gastritis can be targeted based on the specific condition, clinical symptoms, and auxiliary examinations.

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Written by Wu Peng
Gastroenterology
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Chronic atrophic gastritis is what kind of condition?

Chronic atrophic gastritis is a digestive system disease characterized by atrophy of the intrinsic gastric glands. It is commonly seen in middle-aged and elderly people. Clinically, it mainly manifests as loss of appetite, nausea, belching, heartburn, and continuous or intermittent bloating and dull pain in the upper abdomen. A minority of patients may experience upper gastrointestinal bleeding, weight loss, anemia, and malnutrition, with incidence rates increasing significantly with age. Chronic atrophic gastritis can be divided into autoimmune gastritis and multifocal atrophic gastritis, also referred to as Type A gastritis and Type B gastritis, respectively. Gastric mucosal biopsy is a reliable method for its diagnosis.

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Written by Wu Hai Wu
Gastroenterology
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What fruits should be avoided with atrophic gastritis?

The main dietary restrictions for atrophic gastritis include quitting smoking and drinking. It is important to eat less salty and overly hot foods, and to avoid spicy and irritating foods. In addition, patients should avoid coarse foods and eat more fresh vegetables and fruits rich in vitamins. They should eat regularly, have small frequent meals, chew slowly, and maintain a pleasant mood. Patients with atrophic gastritis should maintain a regular diet and have periodic gastroscopy check-ups, as there is a potential for malignancy in atrophic gastritis patients.

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Written by Jiang Guo Ming
Gastroenterology
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Is non-atrophic gastritis serious?

Chronic non-atrophic gastritis, which is commonly referred to as chronic superficial gastritis, is considered one of the milder upper gastrointestinal diseases. Endoscopic examinations usually show localized mucosal congestion and edema, which are not severe. The main cause is likely due to Helicobacter pylori infection, which can be effectively treated with antibacterial therapy. Other factors, such as exposure to cold or inappropriate dietary habits, as well as smoking and alcohol consumption, can also lead to this condition. Therefore, it is essential to pay attention to one’s dietary and living habits and try to avoid spicy and greasy foods and alcoholic beverages to prevent major issues.

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Written by Wu Hai Wu
Gastroenterology
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What is the cause of recurrent atrophic gastritis?

Recurrent atrophic gastritis is likely caused by Helicobacter pylori infection. When atrophic gastritis recurs, a Carbon-13 urea breath test or Carbon-14 urea breath test should be conducted to detect whether there is an infection of Helicobacter pylori. If the test is positive, a two-week quadruple therapy containing a bismuth agent should be used to eradicate Helicobacter pylori. Consider using a proton pump inhibitor, such as omeprazole or lansoprazole, combined with two of the antibiotics amoxicillin, clarithromycin, metronidazole, and furazolidone, as well as bismuth citrate, to form the quadruple therapy. (Please use medication under the guidance of a doctor.)

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Written by Zhang Peng
General Surgery
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How to treat chronic non-atrophic gastritis with bile reflux?

For cases of chronic non-atrophic gastritis with bile reflux, it is first necessary to clarify whether there is a Helicobacter pylori infection, which can be determined by a breath test. Based on this, regular visits to the department of gastroenterology for diagnostics and treatment can be established. Firstly, it is important to take oral medication to protect the gastric mucosa and then to promote gastrointestinal motility. Regular follow-ups are very important. Generally, for patients with non-atrophic gastritis and bile reflux, it depends on whether the condition is high or low. For those in the high category, it is necessary to undergo a gastroscopy every six months.