Gastroscopy is becoming more and more popular, and more and more people have their own gastroscopy reports in hand. Many people are confused about the terminology on their gastroscopy report, even if they have baidu. At this point, interpretation depends on your own personality. Those who can think about it do not bother about it, those who cannot think about it are worried all day long. No matter what, it is not a scientific attitude, in the final analysis, or the lack of necessary understanding of many terms. I hope this article can untie some people’s minds. When you get a gastroscopy report, the first thing to look at is whether there is a biopsy, and if there is a biopsy, there will be a diagnostic pathology report attached. If there is no biopsy and pathological diagnosis report, it means that at least the endoscopist who did the examination thinks there is nothing wrong and can exclude malignant and potentially malignant diseases. Although not 100%, 95% or more is definitely certain. As for the different descriptions on the gastroscopy report, whether it is congestion and edema or erosion and bleeding, they are just different manifestations of inflammation. There is no need to worry too much. So does having a pathological diagnosis report mean a death sentence or a reprieve? Of course not. Because taking a biopsy is sometimes only a suspicion, not a certainty. So it also depends on what the pathological diagnosis is. For the sake of space, pathological diagnoses that are clearly malignant diseases such as cancer and lymphoma will not be discussed. We will only discuss some of the more common, but often confusing, cases. The best category of cases is “chronic superficial gastritis or non-atrophic gastritis”, if this is the result, it is time to stop worrying unnecessarily, indicating that the lesion is inflammatory. Inflammation for the body is like a localized disaster and the relief that follows. In a normal country, natural disasters are unavoidable and do not have serious consequences for the whole country. Inflammation is also the body’s response to foreign microbial, chemical and physical stimuli. It all occurs in order to reduce damage and repair tissues. Another type of inflammation is atrophic inflammation. Ordinary inflammation is fully recoverable, but atrophic inflammation means non-recoverable. It is like an area where the ecology has been devastated and can never be restored. Atrophic gastritis requires some added vigilance, but not enough to overstress, especially in the elderly, where atrophic gastritis may be normal. Another change underlying atrophic gastritis that requires more vigilance is intestinal epithelial metaplasia, often abbreviated as intestinalization in pathology reports. Simply put, this is the appearance of mucosal structures on the gastric mucosa that resemble those of the small and large intestines. If atrophy is just a dilemma that makes it difficult to get rich, intestinalization adds to the chaos of law and order and becomes a social hazard. But even if it is intestinalization, there is no need to sleep and eat yet. Because the cells of intestinalization still follow the normal birth, aging, sickness and death. They do not expand indefinitely, and they do not metastasize like cancer cells. It is the atypical hyperplasia, sometimes called heterogeneous hyperplasia, and intraepithelial neoplasia that really need to be a matter of concern. Just as the original poor people started watching videos of riots and embracing extreme religious ideas. Such lesions are subdivided into mild and severe, the latter of which is not far removed from true cancer and can create a terrorist attack at any time to turn into a cancerous tumor that needs immediate attention. Mild atypical hyperplasia should also theoretically be treated, but because it is often confused with inflammation, it is now often recommended that such a lesion be given a certain amount of observation time to avoid overtreatment. This is the same consideration as avoiding amplification of counterterrorism. One more point, H. pylori. In some hospitals there are also results of H. pylori in the pathology report. H. pylori has a big role in the development of atrophic gastritis and gastric cancer. H. pylori infection is certainly not a good thing, but at least 50% of the population is infected with H. pylori. Therefore, there is no need to panic if you are infected. After all, gastric cancer occurs due to a combination of genetic background, H. pylori infection and lifestyle factors. Whether all of them should be eradicated or not is currently controversial, and it depends on the patient’s personal wishes and the condition of the gastric mucosa. Do you know how to interpret your gastroscopy report? Finally, it is important to mention that the gastroscopy and the patient’s symptoms often have little to do with each other, and it is not the case that if you feel uncomfortable, the more serious the lesion in your stomach. When you feel and gastroscopy performance does not match, you need to pay attention to exclude other diseases that are not gastric disease but manifested as stomach discomfort, after the exclusion may be related to their own stress, mood and personality.