Non-atrophic gastritis with focal erosion treatment

Written by Si Li Li
Gastroenterology
Updated on February 18, 2025
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Non-atrophic gastritis with erosive lesions, primarily diagnosed through gastroscopic examination that revealed erosive and other changes in the gastric mucosa.

If erosion is detected, doctors generally perform a biopsy under gastroscopy to ascertain the nature of the erosion. If the erosion is inflammatory, it can be treated with oral medications, including acid-suppressing and stomach-protective drugs, promoting gastric motility, and protecting the gastric mucosa. If the erosion involves intestinal metaplasia or atypical hyperplasia, it requires endoscopic APC treatment or endoscopic submucosal dissection (ESD) to eliminate the erosive areas, thereby addressing the erosion fundamentally. Additionally, attention should be paid to a light and easily digestible diet.

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Written by Jiang Guo Ming
Gastroenterology
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How to completely cure atrophic gastritis?

Chronic atrophic gastritis generally develops from chronic non-atrophic gastritis, and the most likely cause may be Helicobacter pylori infection. Of course, there are also other reasons, such as poor dietary habits, emotional factors, etc. In such cases, it is first necessary to check for Helicobacter pylori infection, usually using a breath test. If Helicobacter pylori infection is present, quadruple therapy is generally used for eradication treatment. Eradication of Helicobacter pylori can be very helpful for patients with atrophic gastritis, and in some cases, can partially reverse the atrophy. If there is no Helicobacter pylori infection, symptomatic treatment is generally the main approach. Additionally, conditioning through traditional Chinese medicine can also be very helpful. (Specific medication use should be carried out under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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How to prevent and treat atrophic gastritis

Chronic gastritis includes two types: chronic non-atrophic gastritis and chronic atrophic gastritis. Chronic atrophic gastritis is generally more severe than chronic non-atrophic gastritis and usually accompanies intestinal metaplasia, which some refer to as a precancerous lesion. If chronic atrophic gastritis is present, formal medical treatment is necessary. Initially, it is advisable to check for Helicobacter pylori infection. If an Helicobacter pylori infection is found, timely eradication therapy is recommended, typically using quadruple therapy, which consists of a proton pump inhibitor, two types of antibiotics, and a bismuth agent. If there is no Helicobacter pylori infection, treatment generally focuses on symptomatic relief, such as protecting the gastric mucosa and enhancing gastric motility. Additionally, traditional Chinese medicine has shown satisfactory effects in treating chronic atrophic gastritis. It is also important to maintain good dietary and living habits, prefer light and easily digestible foods, and avoid raw, greasy, spicy, and irritating foods to help maintain a positive state of mind. Regular gastroscopy check-ups are necessary. (Medication should be taken under the guidance of a doctor.)

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Written by Si Li Li
Gastroenterology
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Chronic non-atrophic gastritis

Chronic non-atrophic gastritis is also known as chronic superficial gastritis. It is a classification of chronic gastritis, which also includes chronic atrophic gastritis and special types of gastritis as other classifications. Chronic non-atrophic gastritis refers to a condition where the glands in the gastric mucosa do not show atrophy, thus it is called chronic non-atrophic gastritis. Generally, the endoscopic appearance of the gastric mucosa being hyperemic, edematous, or eroded can lead to a diagnosis of chronic non-atrophic gastritis. Treatment mainly focuses on acid suppression, protecting the stomach, promoting gastric motility, and protecting the gastric mucosa. If there is a positive Helicobacter pylori infection, eradication treatment for Helicobacter pylori is required. Patients with chronic non-atrophic gastritis should primarily consume a light and easy-to-digest diet.

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Written by Si Li Li
Gastroenterology
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Is atrophic gastritis of the gastric antrum serious?

Atrophic gastritis is a chronic gastric disease characterized by repeated damage to the gastric mucosal epithelium, leading to the atrophy of the intrinsic glands, with or without intestinal metaplasia or pseudopyloric gland metaplasia. The main cause of this disease is infection by Helicobacter pylori. Symptoms primarily include upper abdominal distension, belching, acid reflux, early satiety, nausea, etc. Some patients may experience symptoms such as weight loss, fatigue, memory loss, anxiety, and depression. The main treatment involves eradicating Helicobacter pylori, suppressing acid production, and using gastric mucosal protectants and prokinetic agents. The majority of patients have Helicobacter pylori-related gastritis, which after chronic inflammation (chronic non-atrophic gastritis) can lead to atrophic gastritis, followed by intestinal metaplasia or dysplasia, and eventually may progress to gastric cancer.

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Written by Jiang Guo Ming
Gastroenterology
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Can atrophic gastritis drink honey?

Honey is very common in daily life, tastes good, and contains rich nutritional components. It has the effects of promoting saliva secretion, quenching thirst, and relieving constipation, which makes it widely loved. For chronic atrophic gastritis, in addition to conventional drug treatments, such as antibacterial Western medicine and treatments that protect the gastric mucosa, traditional Chinese medicine can also provide symptomatic treatment. In terms of diet, it is essential to eat light, easily digestible foods, and avoid raw, greasy, spicy, and irritating foods, as well as stimulants like tobacco and alcohol, while also maintaining regular and measured eating habits. Honey does not have a significant conflict with atrophic gastritis and can be consumed. (Specific medications should be used under the guidance of a doctor.)