Non-atrophic gastric sinusitis with mild intestinal metaplasia can be further treated by hospitalization if there are symptoms of gastric discomfort, or outpatient treatment and regular follow-up gastroscopy if there are no symptoms.
Non-atrophic gastric sinusitis with mild intestinal metaplasia refers to the inflammatory reaction of the stomach and part of the normal gastric mucosa is replaced by intestinal epithelial cells. Mild intestinal metaplasia is reversible with active treatment. Severe intestinal metaplasia is not easily reversible and may further develop into intraepithelial neoplasia and then gastric cancer.
Patients with gastritis with mild intestinal metaplasia may be further hospitalized if they have symptoms such as bloating, acid reflux, nausea and vomiting, and may be investigated for Helicobacter pylori infection. Common drug treatments include omeprazole, magnesium aluminum carbonate, and bismuth potassium citrate.
If the patient does not have abdominal discomfort, he or she may not be hospitalized. However, it is necessary to take a light diet, avoid spicy and stimulating foods and pickled and barbecued foods, and take oral omeprazole and gastrofloxacin under the instruction of the doctor, as well as outpatient gastroscopy to evaluate the treatment effect, which can be repeated every one year.