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Patients often ask whether "stomach erosion" is serious or "stomach ulcer" is serio.
Today, I will compare the similarities and differences between "stomach erosion" and "stomach ulcer" in all aspec.
Concept and classification of gastric erosion and gastric ulcerConcept and classification of gastric erosion and gastric ulcer To discuss this topic, we must first understand the stratification of the stomach wa.
The stomach wall is divided into: mucosa, submucosa, muscularis, and sero.
The gastric mucosa is divided into: the epithelium and the muscularis mucos.
Erosive gastritis can be divided into acute and chronic; endoscopically, it can be divided into flat type and raised ty.
Acute erosions are mostly flat erosions, and elevated erosions are mostly chronic lesio.
Elevated erosion, lesions bulge, surface erosion, and further divided into immature and matu.
Immature elevated erosions, the lesions bulge due to inflammation, congestion and edema, most gastroscopes describe “spotted flaky erosions, and some are elevated erosions”, which is this type; mature elevated erosions are due to repeated Inflammation, the fibrous tissue of the lesion proliferates and bulges, and the surface of the bulge of the lesion is typically an umbilical depressi.
The disease is also called verrucous gastrit.
Stomach ulcers are also divided into acute and chronic, acute ulcers are relatively shallow lesions; chronic ulcers, generally large and deep, can rec.
Gastric ulcers are generally referred to as chronic ulce.
Lesion depthLesion depth erosion: the defect does not exceed the mucosal layer, that is, only the defect of the superficial mucosal layer is relatively shall.
Ulcer: The defect exceeds the muscularis mucosa, that is, the depth has reached the submucosa, or even the muscularis; when the depth of the ulcer breaks through the serosal layer, it is gastric perforati.
The number and distribution characteristics of lesion sitesThe number and distribution characteristics of lesion sitesGenerally speaking, most gastric erosions are in multiple spots, flakes, and scatter.
Gastric ulcers are mostly single, and those with more than 2 are ra.
ComplicationsComplications Acute erosive gastritis is one of the important causes of upper gastrointestinal bleeding, accounting for about 20% of upper gastrointestinal bleeding, most of which are small amounts of bleeding, and a few can be fat.
Hemorrhagic erosive gastritis or acute gastric mucosal lesions; digestion and digestion chronic erosive gastritis, bleeding can also occur, usually a small amount of bleedi.
Erosion, the lesions are shallow, and perforation does not occ.
A lot of gastric ulcers have bleeding, the amount of bleeding is related to the size of the eroded blood vessels , and there are more patients with moderate to heavy bleeding; deep ulcers can be perforat.
Blood vessels 5, cancerous 5, cancerous Acute erosive gastritis will not become cancerous, flat erosion even if there is dysplasia in pathological biopsy (Note: dysplasia is recognizedPrecancerous lesions of gastric cancer ), most of which are caused by cellular inflammatory degeneration and can disappear after treatment, but it should be noted that some early gastric cancers can appear as a single erosion-like lesion, which should be identified and reviewed by gastroscope if necessary; verrucous gastritis, due to repeated inflammation and fibrosis of the lesions Proliferation, cells can mutate and become cancerous in the process of inflammatory repa.
Gastric ulcers in gastric cancer have a certain chance of becoming cancero.
When the pain rhythm of patients changes (gastric ulcers were originally repeated regular pain after meals, but now they become irregular pain) or when the previously effective drugs become ineffective or combined with weight loss, they should Be alert to the possibility of ulcers becoming cancero.
Therapeutic effectTherapeutic effect The treatment principle of gastric erosion and ulcer is the same , first is to eradicate Helicobacter pylori, and then the main combination of acid inhibitor (proton pump inhibitor or H2 receptor blocker, the former is better) Gastric mucosal protectant thera.
Flat erosions have the best treatment effect and can be healed in a short time, but it is easy to recur when there are bacterial or viral infections in the stomach , improper diet, drugs, strenuous exercise, tension and anxiety and other facto.
In particular, it is closely related to diet and dru.
Some patients who have had Helicobacter pylori eradicated but undergo endoscopy every year are still chronic superficial gastritis with erosio.
This is the relationsh.
The infection is followed by immature elevated erosio.
After a period of treatment, most of the bulges can subside and the erosions can he.
The treatment effect of verrucous gastritis is the worst, and with drug treatment alone, the raised lesions are difficult to subside, and sometimes the surface erosion is difficult to he.
If the number of lesions is small, endoscopic argon ion, microwave and other coagulation treatments can be us.
First, argon ions are used to burn down the raised lesions, and then proton pump inhibitors combined with gastric mucosal protective agents are used for treatment, that is, "destruction first and then healing" method; but when the number of raised lesions is large, this method will cause a lot of gastric mucosal wounds, which is very difficu.
The harm of chronic erosive gastritis to human health cannot be ignor.
If it is not treated in time, the development of the disease can be effectively curbed, and it can also develop into ulce.
Gastric ulcers are easy to recur, but after regular treatment by gastroenterology, most of them can be cured, that is, they will not recur
To prevent ulcers from recurring, the following three aspects must be achieved at the same time: To prevent ulcers from recurring, the following three aspects must be achieved at the same time:Eradication of Helicobacter pylo.
Ulcers heal with white flat scars, most of which require more than three months of treatme.
Gastric mucosal inflammation is mildly inacti.
Personal experience, the treatment of gastric ulcer is easier than verrucous gastrit.
In short, in general, gastric ulcer is more serious than gastric erosion, but sometimes bleeding erosive gastritis is also more serious, and the treatment of verrucous gastritis is more difficul.
Today, I will compare the similarities and differences between "stomach erosion" and "stomach ulcer" in all aspec.
Concept and classification of gastric erosion and gastric ulcerConcept and classification of gastric erosion and gastric ulcer To discuss this topic, we must first understand the stratification of the stomach wa.
The stomach wall is divided into: mucosa, submucosa, muscularis, and sero.
The gastric mucosa is divided into: the epithelium and the muscularis mucos.
Erosive gastritis can be divided into acute and chronic; endoscopically, it can be divided into flat type and raised ty.
Acute erosions are mostly flat erosions, and elevated erosions are mostly chronic lesio.
Elevated erosion, lesions bulge, surface erosion, and further divided into immature and matu.
Immature elevated erosions, the lesions bulge due to inflammation, congestion and edema, most gastroscopes describe “spotted flaky erosions, and some are elevated erosions”, which is this type; mature elevated erosions are due to repeated Inflammation, the fibrous tissue of the lesion proliferates and bulges, and the surface of the bulge of the lesion is typically an umbilical depressi.
The disease is also called verrucous gastrit.
Stomach ulcers are also divided into acute and chronic, acute ulcers are relatively shallow lesions; chronic ulcers, generally large and deep, can rec.
Gastric ulcers are generally referred to as chronic ulce.
Lesion depthLesion depth erosion: the defect does not exceed the mucosal layer, that is, only the defect of the superficial mucosal layer is relatively shall.
Ulcer: The defect exceeds the muscularis mucosa, that is, the depth has reached the submucosa, or even the muscularis; when the depth of the ulcer breaks through the serosal layer, it is gastric perforati.
The number and distribution characteristics of lesion sitesThe number and distribution characteristics of lesion sitesGenerally speaking, most gastric erosions are in multiple spots, flakes, and scatter.
Gastric ulcers are mostly single, and those with more than 2 are ra.
ComplicationsComplications Acute erosive gastritis is one of the important causes of upper gastrointestinal bleeding, accounting for about 20% of upper gastrointestinal bleeding, most of which are small amounts of bleeding, and a few can be fat.
Hemorrhagic erosive gastritis or acute gastric mucosal lesions; digestion and digestion chronic erosive gastritis, bleeding can also occur, usually a small amount of bleedi.
Erosion, the lesions are shallow, and perforation does not occ.
A lot of gastric ulcers have bleeding, the amount of bleeding is related to the size of the eroded blood vessels , and there are more patients with moderate to heavy bleeding; deep ulcers can be perforat.
Blood vessels 5, cancerous 5, cancerous Acute erosive gastritis will not become cancerous, flat erosion even if there is dysplasia in pathological biopsy (Note: dysplasia is recognizedPrecancerous lesions of gastric cancer ), most of which are caused by cellular inflammatory degeneration and can disappear after treatment, but it should be noted that some early gastric cancers can appear as a single erosion-like lesion, which should be identified and reviewed by gastroscope if necessary; verrucous gastritis, due to repeated inflammation and fibrosis of the lesions Proliferation, cells can mutate and become cancerous in the process of inflammatory repa.
Gastric ulcers in gastric cancer have a certain chance of becoming cancero.
When the pain rhythm of patients changes (gastric ulcers were originally repeated regular pain after meals, but now they become irregular pain) or when the previously effective drugs become ineffective or combined with weight loss, they should Be alert to the possibility of ulcers becoming cancero.
Therapeutic effectTherapeutic effect The treatment principle of gastric erosion and ulcer is the same , first is to eradicate Helicobacter pylori, and then the main combination of acid inhibitor (proton pump inhibitor or H2 receptor blocker, the former is better) Gastric mucosal protectant thera.
Flat erosions have the best treatment effect and can be healed in a short time, but it is easy to recur when there are bacterial or viral infections in the stomach , improper diet, drugs, strenuous exercise, tension and anxiety and other facto.
In particular, it is closely related to diet and dru.
Some patients who have had Helicobacter pylori eradicated but undergo endoscopy every year are still chronic superficial gastritis with erosio.
This is the relationsh.
The infection is followed by immature elevated erosio.
After a period of treatment, most of the bulges can subside and the erosions can he.
The treatment effect of verrucous gastritis is the worst, and with drug treatment alone, the raised lesions are difficult to subside, and sometimes the surface erosion is difficult to he.
If the number of lesions is small, endoscopic argon ion, microwave and other coagulation treatments can be us.
First, argon ions are used to burn down the raised lesions, and then proton pump inhibitors combined with gastric mucosal protective agents are used for treatment, that is, "destruction first and then healing" method; but when the number of raised lesions is large, this method will cause a lot of gastric mucosal wounds, which is very difficu.
The harm of chronic erosive gastritis to human health cannot be ignor.
If it is not treated in time, the development of the disease can be effectively curbed, and it can also develop into ulce.
Gastric ulcers are easy to recur, but after regular treatment by gastroenterology, most of them can be cured, that is, they will not recur
To prevent ulcers from recurring, the following three aspects must be achieved at the same time: To prevent ulcers from recurring, the following three aspects must be achieved at the same time:Eradication of Helicobacter pylo.
Ulcers heal with white flat scars, most of which require more than three months of treatme.
Gastric mucosal inflammation is mildly inacti.
Personal experience, the treatment of gastric ulcer is easier than verrucous gastrit.
In short, in general, gastric ulcer is more serious than gastric erosion, but sometimes bleeding erosive gastritis is also more serious, and the treatment of verrucous gastritis is more difficul.
