Gastroscopy with erosive gastritis bile reflux eating omeprazole does not work, this is due to the reflux of alkaline bile will also damage the gastric mucosa, resulting in inflammatory reaction of the gastric mucosa, so the treatment can not only inhibit the gastric acid omeprazole, should also be given to bismuth potassium citrate, domperidone and other drugs for treatment, for the accompanied by Helicobacter pylori infection of the patient should be given to the corresponding treatment. Gastroscopy with erosive gastritis bile reflux in the treatment, not only need to use omeprazole and other drugs to inhibit the secretion of gastric acid, should also use bismuth potassium citrate, aluminum thiosulphate and other drugs to protect the gastric mucosa, but also the use of doxorubicin, moxapride and other drugs to promote gastric emptying, to reduce the reflux of bile on the gastric mucous membrane of the damage. In addition, attention should also be paid to whether the patient is accompanied by Helicobacter pylori infection, for patients accompanied by Helicobacter pylori infection, omeprazole, bismuth potassium citrate, clarithromycin, amoxicillin, metronidazole and other drugs can be given for treatment. The specific medication regimen and dosage need to follow the doctor’s instructions. If gastroscopy reveals erosive gastritis with bile reflux, please follow the doctor’s instructions for treatment.