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Home > West Medicine > Internal Medicine > Gastroenterology
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Atrophic Gastritis

消化内科

Common symptoms

恶性贫血、钝痛、上消化道出血、胆汁返流、舌炎、胃慢性出血、便秘、消瘦、嗳气、胀痛

The pathology of disease

Atrophic gastritis is chronic inflammation with loss of gastric glands, due to H. pylori infection or autoimmune (pernicious anemia), presenting with dyspepsia, and risk of intestinal metaplasia/gastric cancer. Treatment: H. pylori eradication if positive; PPI/ symptomatic treatment; vitamin B12/iron replacement if deficient; surveillance endoscopy every 1-3 years (per OLGA staging) to detect dysplasia/cancer; treat autoimmune cause; diet; follow-up; early detection improves outcomes.

Common Symptoms

Dyspepsia; usually asymptomatic; risk of intestinal metaplasia/cancer; by H. pylori/autoimmune

Causes and Pathogenesis

Chronic H. pylori/autoimmune inflammation causes gastric gland atrophy and metaplasia.

Treatment

H. pylori eradication; B12/iron replacement; surveillance endoscopy; symptomatic treatment

Preventive Measures

H. pylori screening/treatment; diet; regular endoscopy.

Department to Visit

It is recommended to visit the Gastroenterology/Hematology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.