In clinical work, I often encounter patients who are worried and anxious when they get the diagnosis report of “chronic atrophic gastritis”.
When they get the diagnosis report of “chronic atrophic gastritis”, they are worried and anxious that it will turn into gastric cancer sooner or later. Is this worry necessary? Is chronic atrophic gastritis bound to develop into gastric cancer? The etiology of chronic atrophic gastritis is complicated, part of it may be related to smoking, alcoholism or improper medication;
Some of them may be related to smoking, alcohol abuse or improper medication; some are developed from chronic superficial gastritis; and some are autoimmune diseases. As a precancerous disease, chronic atrophic gastritis can further develop abnormal proliferation of intestinal epithelium and become cancerous, and the cancer rate is related to the length and severity of the disease. Therefore, it is true that some patients may follow the path of “chronic atrophic gastritis, intestinal epithelial hyperplasia, atypical hyperplasia, and gastric cancer”. After being diagnosed with the above-mentioned precancerous diseases, many patients
This is not necessary at all. After all, precancerous disease of gastric cancer is not the same as gastric cancer, which are two different pathological processes. Most patients with atrophic gastritis can be transformed into superficial gastritis or maintain the status quo after reasonable and systematic treatment, while only a small percentage of severe atrophic gastritis can become cancerous after a long time, mainly in cases with moderate or above atypical hyperplasia and intestinal epithelial hyperplasia. Some people have followed up 100 cases of atrophic gastritis in China, and 5 of them became cancerous within 10 years. This indicates that atrophic gastritis does not have a high chance of becoming cancerous. It is not right to take it lightly, but it is even more wrong to carry a heavy burden of thought, which is not conducive to treatment. Although the chance of pre-cancerous disease turning into gastric cancer is not high, it is important to take precautions against it. First of all
Patients who already have the above pre-cancerous diseases should have close and regular medical check-ups. Gastroscopy is an important tool for secondary prevention of gastric cancer, usually once a year and once every six months in severe cases. Gastroscopy must be sent for pathological examination, and special attention should be paid to atypical hyperplasia. Secondly, strengthening the treatment of chronic gastritis and other diseases is also an important measure to prevent gastric cancer. Recent studies have confirmed that patients with atrophic gastritis accompanied by Helicobacter pylori infection can reduce the risk of precancerous lesions and gastric cancer by 40% after clearing H. pylori infection in the stomach. In addition, Chinese medicine may have a unique role in the prevention and treatment of precancerous lesions. The prescription focuses on the principles of strengthening the spleen, benefiting the qi, clearing heat and detoxifying the toxin, and treating both the whole and the local. Gastric Fuchun and Monkey Mushroom tablets may be beneficial in intestinal epithelial chemosis. Finally, one of the most important lines of defense against atrophic gastritis is also closely related to your lifestyle. A growing number of studies prove that the nervous system and the digestive system are closely related. Therefore, it is important to have confidence in treatment, eliminate tension, and work closely with medical professionals
Only then can gastric cancer be nipped in the bud.