Most ordinary people only know abdominal distension and stomachache. Gastritis may be the cause of stomach upset, and gastric cancer may be more serious. They don't know that there are many kinds of stomach diseases. Chronic gastritis and gastric ulcer are not the same disease. It is a long-term process from chronic gastritis to gastric cancer, and gastric mucosa often follows certain changes. How long does it take for chronic gastritis to shrink from never to atrophy and then to precancerous lesions?

The difference between chronic gastritis and gastric ulcer lies in the depth and degree of gastric mucosal injury. "Chronic gastritis mainly damages the surface layer of gastric mucosa, and generally does not involve the muscularis. Gastric ulcer will damage the muscularis of gastric mucosa. Clinically, the typical gastric ulcer is pain from half an hour to one hour after a meal, and complications such as upper gastrointestinal bleeding may occur, such as hematemesis and melena. It can also be identified by gastroscopy: chronic gastritis is often characterized by congestion, edema and erosion.

There are many kinds of chronic gastritis, among which chronic atrophic gastritis is recognized as a refractory disease. Kang introduced that chronic atrophic gastritis is a kind of chronic gastritis characterized by atrophy of the inherent glands of gastric mucosa, often accompanied by intestinal metaplasia. When chronic atrophic gastritis is accompanied by gastric dysplasia (intraepithelial neoplasia) and intestinal metaplasia, it refers to the precancerous lesion of gastric cancer. It is pointed out that from normal to canceration, gastric mucosa often follows this law: normal gastric mucosa → chronic non-atrophic gastritis → chronic atrophic gastritis → intestinal metaplasia → intraepithelial neoplasia → "Specifically, after repeated stimulation, normal gastric mucosa will produce chronic inflammation, and the process of forming chronic non-atrophic gastritis from non-atrophic to atrophic is a long process, and Helicobacter pylori infection is a very important independent pathogenic factor.

Eradication treatment is still the most basic treatment for chronic atrophic gastritis and intestinal metaplasia. Including folic acid, vitamin C, carotene and non-steroidal drugs, is still controversial. Because of prolonged illness, difficult radical cure, long course of drug treatment and poor compliance of patients, the treatment effect on atrophic gastritis is not ideal. Syndrome differentiation of traditional Chinese medicine mostly belongs to yin deficiency of liver and stomach and deficiency of stomach qi, mainly damp-heat, blood stasis and qi stagnation. In addition, you can also choose Chinese patent medicines that can reverse atrophy and precancerous lesions, such as Weifuchun and Morodan. Under the standardized treatment of traditional Chinese medicine and regular follow-up, the disease treatment can achieve good results.