Chronic atrophic gastritis with intestinal and intraepithelial neoplasia is a big step from non-atrophic gastritis to gastric cancer, so it is also known as "precancerous lesion" of gastric cancer. In the author's opinion, the etiology of chronic atrophic gastritis in Chinese medicine is "dampness, heat and stasis in the stomach, the spleen and stomach qi and yin (yang) are injured for a long time, then it will contain poison and agglomeration", and the treatment should be to remove dampness and heat, eliminate blood stasis and pass through the stomach and stomach, and to strengthen the spleen and benefit the stomach (warming the yang), and to detoxify and dissipate the toxin and agglomeration when it is accompanied by polyp, intestinal and intraepithelial neoplasia. The empirical formula "Strengthening Stomach and Dispelling Pain Formula" is often used to add and subtract.

Strengthening Stomach and Dispelling Pain Formula is composed of 15g of Radix Panax Ginseng, 12g of Rhizoma Atractylodis Macrocephalae, 15g of Semen Coix lacryma, 20g of Rhizoma Chasteberry, 6g of Rhizoma Coptidis, 12g of Semen Armeniacae, 10g of Rhizoma Pu Hwang, 15g of Radix et Rhizoma Dandelionis, 12g of Rhizoma Huperocarpus, 10g of Chen Pi, and 5g of Radix Glycyrrhizae.

Diagnosis of symptoms plus and minus: the epigastric coercive pain, plus Yu Jin 15 grams, white peony 15 shells; burning hot and bitter mouth, plus gardenia 12 grams, Scutellaria baicalensis 12 grams; weakness and loose stools, plus Astragalus 15 grams, Radix et Rhizoma Ginseng to change the Codonopsis pilosulae; dry mouth with little moss, plus Maitou 12 grams, Dendrobium 15 grams; pain is obvious, plus Xuan Hu 15 grams, Panax quinquefolii 3 grams; gastrointestinal tingling, plus Dangshen 15 grams, Safflower 12 grams; stomach and epigastric distension, plus cowpea jelly 15 grams, Citrus medica 12 grams; cold pain like warmth, add 6 grams of galangal, 12 grams of cinnamon sticks, 15 grams of adenosine; acidic and noisy, add 15 grams of zhebei, 12 grams of squid bone.

Add and subtract according to the mirror pathology: add and subtract according to depression heat and damp-heat for bright red gastric mucosa, add and subtract according to qi deficiency and deficiency cold for white color, add 6 grams of Baihe and 3 grams of Panax ginseng for erosion and bleeding, add 15 grams of Salvia divinorum and 10 grams of Curcuma longa for glandular atrophy, add 15 grams of Zhenbei, 12 grams of Xiakoucao and 20 grams of oyster for inflammatory polyps and epithelialized, add 30 grams of stinking oyster and 15 grams of garcinia cambogia for intra-epithelial neoplasia, and so on.

Course of treatment: the purpose of treatment is to control and improve the symptoms, the course of treatment is usually 1~2 months; to improve the gastroscopic image and pathological inflammation for the purpose (gastroscopy and inflammation efficacy), the course of treatment needs 3~6 months; and to control polyp recurrence, reverse glandular atrophy and eliminate intestinalization, intraepithelial neoplasia as the purpose of the course of treatment is often up to 6~12 months.

In the treatment of medication at the same time, the physician should be on the patient's diet, living, labor, psychological aspects of the guidance, requiring patients to actively cooperate with the medical advice.

Chronic gastric disease in three points in the treatment, seven points rely on nutrition. Traditional Chinese medicine is identified as stomach heat, yin deficiency and fluid injury, the diet should eat clear moist yin and fluid products, such as stewed duck, Coix lacryma millet congee, crystal sugar steamed pears and fresh fruits and vegetables. Avoid spicy and stimulating, hot and fatty, fried and barbecued food, such as pepper, pepper, pepper, tobacco, alcohol, mutton, dog meat, lychee, fried melon seeds and so on.

Chronic atrophic gastritis with intestinal epithelial hyperplasia is a situation where chronic atrophic gastritis has existed for a long time and continues to develop into a more intractable condition, mostly due to the development of chronic gastritis in the presence of Helicobacter pylori infection and bile reflux over a long period of time, which often manifests itself in the form of fullness and hidden pain in the epigastric region, dyspepsia, belching, and other symptoms such as insufficient secretion of digestive juices and weakened gastric power.

For patients with atrophic gastritis accompanied by intestinal epithelial hyperplasia, first of all, long-term regular application of digestive enzyme preparations, gastric mucosal protective agents to maintain the treatment at the same time, to use triple therapy to kill Helicobacter pylori, and when there is bile reflux, gastric dynamics of the application of drugs to inhibit bile reflux. In addition, you can take Morodan, stomach nourishing Shu and other proprietary Chinese medicines to assist in the treatment.

In addition to the application of the above medications to actively treat and control the condition, dietary regulation is also a very important adjunctive treatment method, specifically in the following areas:

1. Usually eat more rice, noodles and other staple foods and fresh vegetables and fruits, a small amount of lean meat and fish and other high-protein foods, eating can be appropriate to add a little bit of vinegar, can promote the digestion of food. Do not eat chili, garlic and other stimulating and greasy, too hard, cold food. Normally, you can also use a moderate amount of high-quality honey to drink water to promote gastric secretion to help digestion.

2. Regular meals, regular and quantitative, do not overeat and excessive hunger, half an hour after eating appropriate activities, have to promote the role of gastric power.

3. Quit smoking and drinking, avoid taking antipyretic and antispasmodic drugs, and review gastroscopy at least once a year to observe changes in the condition.

Follow Kirk for more health information.

Thanks for reading!

Traditional Chinese medicine classifies this disease as "stomach pain", "rumpus", "noisy", the cause of which may be qi stagnation, blood stasis, dampness, phlegm obstruction, yang deficiency, yin deficiency, and may occur alone or together in a staggered manner. It can be alone or in combination. Chinese medicine treatment is evidence-based and varies from person to person, and the treatment plan needs to be determined through a face-to-face consultation.

In the diet should eat and drink, do not eat too full, do not eat cold spicy stimulation and other foods, to eat some easy to digest, nutritious food, such as millet porridge, yam porridge, in addition, you can also eat some of the food beneficial to the gastric mucosa.

Many of my friends find after gastroscopy that the pathology report says intestinal metaplasia or intestinal epithelial metaplasia, what is going on?

Gastric mucosal intestinal epithelial metaplasia is sometimes referred to as enteroplasia, and in common parlance, it means that intestinal mucosal epithelial cells similar to intestinal mucosal epithelial cells appear in the gastric mucosal epithelium, and we call them enteroplasia cells. These cells partially lose the characteristics of normal gastric mucosal epithelial cells and take on the characteristics of intestinal mucosal epithelial cells, e.g., the acid-secreting gastric cells become alkaline-secreting intestinal cells.

The appearance of intestinal chemosis is associated with many factors. It is usually considered that intestinal metaplasia is the result of an inflammatory reaction of the gastric mucosaResults. When various factors causing inflammatory reactions in the gastric mucosa persist for a long period of time, part of the gastric mucosa becomes atrophic and is replaced by epithelioid cells resembling the intestinal mucosa. Age is also an important factor. Gastroscopy reveals that the incidence of intestinal metaplasia increases with age. This increase in intestinal metaplasia with age is not due to Helicobacter pylori infection or dietary factors, but can be viewed as a manifestation of aging or degeneration of the gastric mucosa.

Intestinal metaplasia is a mutation of the epithelial cells of the gastric mucosa, which is related to the development of gastric cancerThis relationship can only be considered as a risk factor for gastric cancer at most. At most, this relationship can only be considered that intestinal metaplasia is a risk factor for gastric cancer, or this part of the population is a high-risk group for gastric cancer, i.e. gastric cancer is more likely to occur. Therefore, when chronic atrophic gastritis with intestinal metaplasia is detected, it should be treated actively to prevent the development of gastric cancer, but there is no need to panic, after all, intestinal metaplasia is only an intermediate link between the development of atrophic gastritis and gastric cancer.

Chronic atrophic gastritis → intestinal metaplasia → atypical hyperplasia → gastric cancer is one of the universally recognized mechanisms of gastric cancer. Although intestinal metaplasia is an intermediate link in the progression of atrophic gastritis to gastric cancer, long legged general surgeons still need to correct the erroneous views of some patients:

1. Intestinal metaplasia is a developmental stage rather than an early manifestation. It should not be assumed that the presence of intestinal metaplasia will necessarily lead to stomach cancer in the future. The incidence of intestinal metaplasia increases with age, just as the incidence of stomach cancer is higher in older people, but it is only an increase in the incidence.
2. There is a long way to go before gastric cancer develops. Even if gastric cancer develops due to intestinal metaplasia, it can still be detected at an early stage and treated with timely surgery if it is followed up on a regular basis, and there is still a good chance of recovery according to the current medical technology.
3. Intestinal metaplasia is not an inevitable pathway to gastric cancer, so don't assume that just because you don't have intestinal metaplasia at the moment, you won't get gastric cancer.
   
   

Chronic atrophic gastritis is a precancerous lesion of gastric cancer, even if there is no intestinal metaplasia, it should be actively treated, currently there is intestinal metaplasia, it is necessary to clarify the degree of anisotropy, and it is also necessary to standardize the use of medication and regular review, and it is not possible to achieve therapeutic goals simply through dietary modification.

Chronic gastritis is divided into chronic atrophic gastritis and chronic non-atrophic gastritis, which are common upper gastrointestinal diseases. Atrophic gastritis is a more serious stage of gastritis, characterized by atrophy of the gastric mucosal glands, reduced secretion of gastric acid, and clinically manifested as gastric bloating and other indigestion symptoms. It should be noted that atrophic gastritis with intestinal metaplasia is a precancerous lesion of the stomach, which requires active treatment and regular review of gastroscopy.

What are the treatment options for atrophic gastritis with intestinal metaplasia?

For atrophic gastritis with intestinal metaplasia, the current main treatment is drug therapy, and the drug is only some symptomatic drugs, there is no drug that can reverse gastritis, as long as the gastritis is no longer in the direction of the development of the more serious, then you can rely on the gastric mucosa itself to repair, the treatment is effective.

The most important symptoms of atrophic gastritis are bloating, belching and other symptoms of indigestion, and clinically they are often given to promote gastrointestinal dynamics and digestive enzymes to help digestion, due to the lack of gastric acid secretion, patients with atrophic gastritis are not recommended to take proton pump inhibitors and H2 receptor blockers. In addition, diet is still need to pay attention to, spicy stimulating food and gastric injury drugs should be avoided as far as possible, the diet should be regular, as far as possible to intake of mild non-stimulating food.

I hope that my answer will help you! Give me a like if you like it!

Atrophic gastritis with intestinal metaplasia is mostly caused by acid reflux and recurrent inflammation of the gastric mucosa due to Helicobacter pylori infection, so the first step is to find the cause.

First, treat the disease first: you can carry out the Helicobacter pylori test, if positive, it is recommended to carry out four drug treatment, the conversion rate of about 90%. Removing the cause of the disease will also fundamentally eliminate the recurrence of reflux and inflammation.

Second, after removing the cause of the disease, we should do a good job of preventing secondary infections, such as keeping the disease from entering through the mouth, insisting on separate meals, using communal chopsticks and high-temperature disinfection, and so on.

Third, atrophic gastritis with intestinal dysplasia is not serious, Western medicine generally do not give treatment, Chinese medicine is not very effective, and intestinal dysplasia is irreversible, we can do is how to make it no longer to the serious development and how to maintain a good stomach.

1. Increase body resistance. Low resistance, Helicobacter pylori will take advantage of the situation, so exercise, health and happiness, enhance the body resistance.

2. Regulate diet and maintain a good stomach. It is recommended to eat small meals, less greasy, easy to digest diet, not cold nor hot, do not eat spoiled food, do not eat added preservatives food.

3、The following are several dietary modifications that nourish and strengthen the stomach to fight Helicobacter pylori;; and

(1) white radish: with the role of gas, people with a bad stomach are afraid of not gas, not gas will be bloating and stomach pain, so white radish is a necessary food, you can cold white radish, shredded meat vermicelli radish, simmering radish in soup, dumplings and buns, etc., it's best to eat a little every day.

(2) Fresh raw potato juice: anti-inflammatory and antiseptic, repairing the gastric mucosa, taken on an empty stomach.

(3) Freshly squeezed cabbage juice: anti-inflammatory and antiseptic, repairing the gastric mucosa, taken on an empty stomach.

(4) Steamed potatoes with garlic puree: anti-inflammatory and antiseptic, repairing the gastric mucosa, taken on an empty stomach.

(5) Sweet and sour garlic sauce: anti-inflammatory and antiseptic, repairing the gastric mucosa, eaten with rice.

I hope my answer is useful to you.

Atrophic gastritis requires a lot of patients to be treated with herbs. Some overdose omeprazole also out of gastric mucosal atrophy. Chinese medicine has the qi and blood fries and depression of all diseases from the said. The mucosal congestion of the stomach is the manifestation of ⺀boiling″, and the atrophy of the gastric mucosa is the result of ⺀郁'。 Clinical Yin deficiency is common in atrophic gastritis, while Yang Qi deficiency is also present. Its etiology is different, but the pathogenesis is always different from the yin blood deficiency can not moisten, yang qi deficiency can not warm, is ⺀ support ″ gastric membrane of the collateral function of the dysfunction. I treat this patient in addition to the cause of the disease, the body with drugs, but also have to add the use of qi, nourish blood, blood, blood stasis, through the collateral products. Of course, life and dietary management should also be followed.