Atrophic gastritis in 65 year olds can be treated with medication and prophylaxis, such as omeprazole, bismuth potassium citrate, amoxicillin, metronidazole and other antipathogenic medications and regular gastroscopy, and surgical treatment if necessary.
1. Drug therapy: most atrophic gastritis is caused by Helicobacter pylori infection, so the treatment of atrophic gastritis is based on the combination of drugs. Currently, a quadruple therapy program is advocated, i.e., a proton pump inhibitor such as omeprazole + a bismuth agent such as bismuth potassium citrate + 2 antibiotics such as amoxicillin and metronidazole, and a small portion of autoimmune-induced atrophic gastritis needs to be added with glucocorticosteroids, such as prednisone, to inhibit immune response.
2. Preventive treatment: Considering that the patient is already old, regular gastroscopy is recommended. If the lesion has mild or moderate atypical hyperplasia, gastroscopy can be used for regular follow-up; if moderate or severe atypical hyperplasia and carcinoma in situ have already appeared, gastroscopic mucosal dissection is required.
The above medicines need to be used under the guidance of doctors, avoid taking medicines by oneself.