Are atrophic gastritis and atrophic gastric erosion the same?

Written by Wu Hai Wu
Gastroenterology
Updated on January 12, 2025
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Atrophic gastritis and atrophic gastric erosion do not mean the same thing; atrophic gastric erosion refers to the presence of gastric mucosal erosion based on atrophic gastritis. When atrophic gastritis is accompanied by gastric erosion, it is crucial to actively check for Helicobacter pylori infection. If the Helicobacter pylori infection tests positive, the treatment involves a two-week quadruple therapy that includes bismuth to eradicate Helicobacter pylori, along with medications to protect the gastric mucosa, such as magnesium carbonate, sucralfate, etc., and also some digestive aids. (Please take medication under the guidance of a doctor.)

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Written by Si Li Li
Gastroenterology
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Can atrophic gastritis with HP positive lead to cancer?

Chronic atrophic gastritis has a certain risk of cancerous transformation. For patients with chronic atrophic gastritis, the first step in treatment is to administer anti-Helicobacter pylori therapy, which includes a proton pump inhibitor, two types of antibiotics, and a bismuth agent, with a treatment duration of 14 days. Additionally, treatments to suppress stomach acid, protect the stomach lining, promote gastric motility, and repair the stomach mucosa are necessary. Treatment methods also involve traditional Chinese medicine (TCM) diagnoses and oral administration of Chinese herbal medicine. External TCM treatments, such as thunder-fire moxibustion and moxibustion on the Zhongwan acupoint, or the acupoints of spleen-shu and stomach-shu on the back, which strengthen the spleen and benefit qi to nourish the stomach, can also play a significant role in treating this disease.

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Written by Si Li Li
Gastroenterology
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How to regulate non-atrophic gastritis

Chronic gastritis is divided into chronic atrophic gastritis and chronic non-atrophic gastritis. Chronic non-atrophic gastritis, also known as chronic superficial gastritis, mainly presents symptoms such as upper abdominal distension, belching, acid reflux, nausea, vomiting, and indigestion. Gastroscope examination revealing redness, edema, or erosion of the gastric mucosa can diagnose chronic non-atrophic gastritis. The treatment primarily involves acid suppression, stomach protection, and enhancement of gastric motility, typically requiring about four to six weeks. It is also recommended to conduct a Carbon-14 breath test to determine if there is an infection with Helicobacter pylori; if the infection is positive, a 14-day treatment against Helicobacter pylori is necessary. Additionally, dietary considerations should focus on easily digestible foods, avoiding spicy, fried, barbecued, sweet, or cold foods. Smoking and alcohol consumption should be avoided, as well as foods like milk, soy milk, glutinous rice, and sweet potatoes.

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Written by Ren Zheng Xin
Gastroenterology
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What to do about the pain from atrophic gastritis?

Atrophic gastritis is a condition where the mucous membrane of the stomach atrophies, associated with poor neural nutrition and excessive gastric acid secretion, leading to a reduction in the barrier function of the gastric mucosa. To first alleviate pain, proton pump inhibitors can be used to reduce the secretion of gastric acid, and at the same time, gastric mucosal protectants should be used. If there is an infection with Helicobacter pylori, active use of triple or quadruple therapy should be employed to eradicate Helicobacter pylori. It is important to adjust one's diet, eat regularly, and avoid overeating. Greasy and spicy foods should be consumed less, and more bland, soft, and easily digestible foods should be eaten. (Please use medication under the guidance of a doctor.)

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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 Xie Zheng Yuan
Gastroenterology
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How long does it take to treat atrophic gastritis with erosion?

Atrophic gastritis with erosion is a type of chronic gastritis and has a lengthy course of disease. Through treatment, the erosions may heal within six to eight weeks. However, reversing the atrophy of the gastric mucosa is a long-term and slow process, and there are no specific effective drugs clinically available. Some traditional Chinese medicines and proprietary Chinese medicines may be effective, but it typically takes at least six months. Therefore, the duration required to treat atrophic gastritis with erosion varies from person to person, depending on individual differences.