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Home > West Medicine > Internal Medicine > Gastroenterology
K29.500

Chronic Gastritis

消化内科

Common symptoms

上消化道出血、中上腹痛、食欲不振、胃痛、进食后出现弥漫...、黑便、胃慢性出血、消瘦、消化不良、胃粘膜损伤

The pathology of disease

Chronic gastritis is chronic inflammation of gastric mucosa, due to H. pylori infection, bile reflux, NSAIDs, alcohol, or autoimmune, presenting with dyspepsia, bloating, and possible atrophic/metaplastic changes. Treatment: H. pylori eradication if positive; PPI/H2 blocker; mucosal protectants; avoid irritants (NSAIDs/alcohol/smoking); treat bile reflux; endoscopy with biopsy to grade atrophy/metaplasia; surveillance endoscopy if atrophic/metaplastic; vitamin B12 if autoimmune/pernicious; diet; follow-up.

Common Symptoms

Dyspepsia/bloating; usually mild; by H. pylori/bile/NSAID/alcohol/autoimmune

Causes and Pathogenesis

Chronic H. pylori/irritant causes persistent gastric mucosal inflammation.

Treatment

H. pylori eradication; PPI; avoid irritants; endoscopy grading; surveillance if atrophic

Preventive Measures

H. pylori screening/treatment; avoid irritants; diet.

Department to Visit

It is recommended to visit the Gastroenterology 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.