Patient: The patient is my sister. Six months ago, she felt uncomfortable in her stomach, no pain, always hot, I don’t know if it is burning, and when her stomach is hot, she doesn’t want to eat cold as some people say. The lower side of the left back shoulder blade often hurts (there are two years), about three months weight loss of 10 pounds. Hungry quickly, always eating. She was born during the three years of hardship, and has had gastroptosis since childhood, and severe iron deficiency anemia. After being hospitalized and undergoing bone penetration, he was diagnosed with iron-deficiency anemia, and after three months of supplementation, he finally improved gradually and has not relapsed until now. Recently, he has been complaining of stomach discomfort. The esophagus is sometimes acidic, but rarely acid reflux. Gastroscopy results done on April 9, 2008: normal mucosa of the circumferential wall of the descending duodenum, normal mucosa of the bulb, no deformation of the bulb cavity, no ulcer; round pylorus, open and close, focal congestion and edema of the mucosa of the gastric sinus, red and white, mainly white, mucosa less smooth, normal mucosa and morphology of the body of the stomach, no ulcer, swelling, fundus, no ulcer, swelling and varices, mucosa of the gastric sinus of the fundus The mucosa at the dentate line was congested and edematous, the morphology and mucosal color of the remaining segments of the esophagus were normal, and there were no ulcers, swellings or varices. Conclusion: chronic atrophic gastritis with gastric body and fundus erosion; reflux esophagitis (mild) pathological diagnosis report: mild chronic atrophic gastritis with mild intestinalization; taking omeprazole for eight weeks and Lizudra for two weeks, the effect is very good, but you can’t stop the medication, as soon as you stop, it is the same as before you took the medication. But omeprazole also can not always eat, also tried to use ranitidine and nourishing gastric relief, the effect is not good. Recently, I am taking omeprazole again. I would like to ask Mr. Sun: 1. How can my sister’s disease be treated with medicine? Do we need to do surgery? How many months is the minimum interval between gastroscopy and surgery? Sun Weihao, Department of Gastroenterology, Jiangsu Provincial People’s Hospital: Esophagitis should be treated with acid-control drugs such as omeprazole, while chronic gastritis is a symptomatic drug. There is no evidence of cancer and no indication for surgery. Gastroscopy can be done once a year, of course, please feel free to go to the hospital to follow the doctor’s command. You can eat normally, the above for reference! Patient: Can I continue to take omeprazole? How long should I take it? Jiangsu Provincial People’s Hospital, Department of Gastroenterology, Sun Weihao: Decide according to the control of acid reflux symptoms.