Non-atrophic gastritis with focal erosion treatment

Written by Si Li Li
Gastroenterology
Updated on February 18, 2025
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Non-atrophic gastritis with erosive lesions, primarily diagnosed through gastroscopic examination that revealed erosive and other changes in the gastric mucosa.

If erosion is detected, doctors generally perform a biopsy under gastroscopy to ascertain the nature of the erosion. If the erosion is inflammatory, it can be treated with oral medications, including acid-suppressing and stomach-protective drugs, promoting gastric motility, and protecting the gastric mucosa. If the erosion involves intestinal metaplasia or atypical hyperplasia, it requires endoscopic APC treatment or endoscopic submucosal dissection (ESD) to eliminate the erosive areas, thereby addressing the erosion fundamentally. Additionally, attention should be paid to a light and easily digestible diet.

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Written by Wu Hai Wu
Gastroenterology
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What should I do if atrophic gastritis causes severe weight loss?

Patients with atrophic gastritis should be highly attentive if they experience significant weight loss and should receive standardized traditional treatments. Additionally, dietary habits also require careful attention; it is important to quit smoking and drinking alcohol, and to avoid using medications that damage the gastric mucosa, such as nonsteroidal anti-inflammatory drugs and steroids. Furthermore, eating habits should be regular, avoiding binge eating and foods that are too salty, spicy, or that are fried or deep-fried. Active treatment should also be directed against Helicobacter pylori, utilizing medications that protect the gastric mucosa, enhance its resistance to gastric acid, and improve the regenerative ability of gastric mucosal cells. Medications that inhibit bile reflux and improve gastric motility can also be employed.

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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 Jiang Guo Ming
Gastroenterology
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How to prevent and treat atrophic gastritis

Chronic gastritis includes two types: chronic non-atrophic gastritis and chronic atrophic gastritis. Chronic atrophic gastritis is generally more severe than chronic non-atrophic gastritis and usually accompanies intestinal metaplasia, which some refer to as a precancerous lesion. If chronic atrophic gastritis is present, formal medical treatment is necessary. Initially, it is advisable to check for Helicobacter pylori infection. If an Helicobacter pylori infection is found, timely eradication therapy is recommended, typically using quadruple therapy, which consists of a proton pump inhibitor, two types of antibiotics, and a bismuth agent. If there is no Helicobacter pylori infection, treatment generally focuses on symptomatic relief, such as protecting the gastric mucosa and enhancing gastric motility. Additionally, traditional Chinese medicine has shown satisfactory effects in treating chronic atrophic gastritis. It is also important to maintain good dietary and living habits, prefer light and easily digestible foods, and avoid raw, greasy, spicy, and irritating foods to help maintain a positive state of mind. Regular gastroscopy check-ups are necessary. (Medication should be taken under the guidance of a doctor.)

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Written by Wu Hai Wu
Gastroenterology
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Does chronic atrophic gastritis require lifelong medication?

If the patient has lifelong atrophic gastritis, they may need to follow a doctor's advice and take medications that increase mucosal nutrition for life, such as sucralfate, live gastric ketone, prostaglandin E1, etc. The main causes of atrophic gastritis are Helicobacter pylori infection, as well as other factors such as autoimmune mechanisms, genetic factors, and decreased gastric mucosal barrier function. The main symptoms of atrophic gastritis include obscure pain in the upper abdomen, distension, burning pain, along with accompanying symptoms like weight loss and anemia. Treatment for atrophic gastritis involves eradicating Helicobacter pylori and using medications that protect the gastric mucosa.

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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.)