Diseases are very similar to the weather, when the sky is clear, it usually does not suddenly rain, but first from a sunny day gradually change to cloudy, and only after that it will rain. Most of the patients think that stomach pain or stomach discomfort is a small thing, take some medicine to reduce the symptoms is good, do not pay attention to the symptoms, the gastroscopy is delayed again and again, often due to the recurrence of the disease until the emergence of complications before they have to perform a gastroscopy, and it is often too late to regret. A more shocking fact is that the survival rate of early gastric cancer after operation is more than 95%, while that of middle gastric cancer is only 20%. The role of early diagnosis and treatment is self-evident. Gastroscopy can clarify whether there are ulcers, active inflammation, precancerous lesions, tumors, polyps and other lesions, and it can also directly take the lesion tissue for cytology and pathology to obtain pathological diagnostic evidence. Once again, we urge you to perform gastroscopy in a timely manner according to your specific condition and your doctor’s recommendation, and do not wait until your condition worsens to consider gastroscopy. In general, we recommend that people over the age of 40 should have a gastroscopy every two years, and people with symptoms such as upper abdominal discomfort, dark stools, loss of appetite, weight loss, or people with a family history of gastric cancer or those who live in areas with a high prevalence of gastric cancer should pay more attention to it. For patients with a history of chronic atrophic gastritis, gastric polyps, and gastric mucosal enteritis, it is best to undergo regular gastroscopy if there is no change in their condition, so as to follow up and judge their condition at an early stage. Many people have psychological burdens or concerns about gastroscopy, which is largely due to the fear that the examination process is too painful. But in fact, the examination is not as painful as one might think. To put it simply, gastroscopy is just a process of looking into the stomach with the help of a tube that is inserted into the stomach and looking through a mirror-like probe at the bottom to see the changes inside the stomach. But the process is not rough, there may be a little discomfort, but often the patient has not reacted, the examination has been done, for the pharyngeal reflex is particularly sensitive or fear of people can choose to anesthesia under the gastroscope, so that a wake up gastroscopy on the end of the examination. In the hospital clinic, there are many patients or their families to get a gastroscopy report card after a blank face, in order to make patients have a general understanding of the gastroscopy, today on some common findings for a brief description, for reference. Superficial gastritis: It reflects a lymphocytic or plasma cell infiltration in the superficial layer of the gastric mucosa, while the deep gastric glands are normal. Depending on the degree of inflammatory cell infiltration, superficial gastritis can be categorized as mild, moderate, or with acute activity. Depending on the condition, patients can be cured after using different drugs. Atrophic gastritis: It is a condition in which, in addition to the presence of inflammatory cell infiltration in the mucosa, partial or complete loss of gastric glands is seen. Atrophic gastritis must be treated aggressively because atrophic gastritis has a higher chance of developing enterochemistry. Enteric chemosis: enteroepithelialization, meaning the appearance of intestinal epithelium in the epithelium of the gastric mucosa, can be seen in superficial gastritis or atrophic gastritis, but also can be seen in some normal people. Currently, mucohistochemistry, enzyme histochemistry and electron microscopy techniques are used to classify intestinal metaplasia into complete, incomplete and small intestine or colon types. Most medical experts now believe that incomplete type and colon type enterochemistry (also known as type III enterochemistry) are closely related to the occurrence of gastric cancer. Therefore, further examination should be done after seeing the report of enterochemistry. Individual glandular cystic dilatation: Based on the pathologic pattern, gastric mucosal glandular dilatation is classified into simple dilatation and heterogeneous dilatation. Simple dilatation refers to a lesser degree of glandular dilatation, which is focal or isolated, with high mucus secretion in the lumen of the gland, no atrophy of the gland, and heterogeneous hyperplasia of the glandular epithelium, which may be accompanied by enterochemistry. It is currently thought that it may be an important precancerous lesion. Therefore, patients with glandular dilatation of the biopsied gastric mucosa, especially those with heterogeneous dilatation, should be reviewed regularly. Gastric mucosal epithelial heterogeneous hyperplasia: also known as atypical hyperplasia. This finding should be given high priority because it can be considered a precancerous lesion. It has been reported that the cancer rate is 2.35% in mild atypical hyperplasia, 4-5% in moderate and 10-84% in severe. In mild cases, gastroscopy should be repeated every 3-4 months, and in moderate cases, every 2-3 months. In severe cases, surgery should be performed as soon as possible. If you are still not clear about the results of the above tests, or if you have any doubts, please keep your head clear, don’t consult a doctor in a hurry, and don’t do it on Baidu, for your peace of mind, for your body and mind, please consult a doctor at the hospital in a timely manner, so that we can “customize” a specific treatment plan according to your situation.