The gastroscopy report includes basic information about the examiner, examination items, examination findings, pathological diagnosis and microscopic diagnosis. What is seen on examination: refers to the changes in the esophagus, cardia, fundus, gastric body, gastric angle, sinus, pylorus and duodenum seen by the doctor under the gastroscope. Common microscopic diagnoses: no significant abnormality, reflux esophagitis, chronic superficial gastritis, chronic atrophic gastritis, gastric ulcer, duodenal ballooning, esophageal cancer, gastric cancer, etc. Results indicating normal: No significant abnormality was seen. If there are uncomfortable symptoms, further examination should be conducted by a doctor. Results indicating abnormal 1. Reflux esophagitis: microscopically, the esophageal mucosa is seen to be congested, edematous, not smooth, with unclear vascular texture, visible stripes of erythema, and even erosion and ulceration, and the dentate line loses its normal shape, etc. Gastric acid inhibiting drugs should be applied under the guidance of the doctor to reduce reflux and the stimulation and corrosion of gastric secretions; 2. Chronic superficial gastritis: microscopically, the gastric mucosa is seen to be congested, edematous, stripes of Erythema, erosion, hemorrhage, localized turtle back pattern changes, increased mucosal fragility, need to correct the patient’s poor dietary habits, give light, easy to digest food, if necessary, under the guidance of the doctor to apply gastric mucosa protective drugs or acid suppressants. 3, chronic atrophic gastritis gastric mucosal lesions involving the glands, glandular atrophy, the number of reduced, the gastric mucosa is gray or dark gray, the mucosal folds become flat, narrow, granular not smooth, need to stop smoking and alcohol, diet should be regular, avoid overheating, salty and spicy food, detection and treatment of Helicobacter pylori, need to follow the doctor’s instructions for regular re-examination of gastroscopy. 4, gastric ulcer gastric wall tissue defects form depressions, round or ovoid, the surface is covered with white or yellow-white moss, the ulcer around the congestion, edema, edge elevation or have the surrounding mucosa to its concentration, after diagnosis need to be given under the guidance of the doctor gastric mucosa protective drugs, such as aluminum thioglycollate, bismuth, etc., active treatment of H. pylori infection. 5, duodenal bulbitis Duodenal bulb mucosa is not smooth, there are diffuse small granular (lymphatic follicular hyperplasia), redness (congestion), edema, erosion and other changes, suggesting duodenal bulbitis, need to remove the causative factors, such as avoid eating strong stimulation of the gastric mucosa diet and drugs, quit smoking and avoid alcohol, eradicate H. pylori and inhibit gastric acid secretion. 6.Esophageal cancer Microscopically, we can see esophageal mucosal erosion, ulcer, stenosis and mass formation, and in the middle and late stage, there are obvious irregular stenosis and filling defect, and the wall is stiff. 7.Gastric cancer The microscopic manifestation of gastric cancer differs according to its subtypes. For example, bulging gastric cancer microscopically shows polyp-like elevation of mucosa with uneven surface, red color or erosion, and no clear demarcation with surrounding normal mucosa; flat gastric cancer lesion is slightly raised or lower than surrounding mucosa, and the lesion mucosa can be limited or widely reddened, discolored or discolored, etc. After diagnosis, surgery is required, together with chemotherapy, targeted therapy and other supportive treatments.