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Patients often ask whether "stomach erosion" is serious or "stomach ulcer" is serious.
Patients often ask whether "stomach erosion" is serious or "stomach ulcer" is serious.
1.
Talking about this topic, we must first understand the layering of the stomach wall
Erosive gastritis can be divided into acute and chronic; endoscopically, it can be divided into flat type and raised type
Elevated erosion, lesions bulge, surface erosion, and further divided into immature and mature
Immature elevated erosions, the lesions bulge due to inflammation, congestion and edema, most gastroscopic descriptions "see scattered flaky erosions, and some are elevated erosions", which is this type;
Mature protuberance erosion is due to repeated inflammation, and the fibrous tissue of the lesion proliferates and bulges.
Mature protuberance erosion is due to repeated inflammation, and the fibrous tissue of the lesion proliferates and bulges.
Stomach ulcers are also divided into acute and chronic, acute ulcers are relatively shallow lesions; chronic ulcers, generally large and deep, can recur
2.
Erosion: The defect does not exceed the mucosal layer, that is, only the defect of the superficial mucosal layer is relatively shallow
Ulcer: The defect exceeds the muscularis mucosae, that is, the depth has reached the submucosa, or even the muscularis; when the depth of the ulcer breaks through the serosa, it is gastric perforation
Generally speaking, most gastric erosions are in multiple spots, flakes, and scattered
Gastric ulcers are mostly single, and those with more than 2 are rare
4.
Acute erosive gastritis is one of the important causes of upper gastrointestinal bleeding, accounting for about 20% of upper gastrointestinal bleeding.
Most of them are small amounts of bleeding, and a few can be fatal.
At this time, it is also called acute bleeding erosive gastritis or acute gastric mucosa.
disease ; digestion
Chronic erosive gastritis, bleeding can also occur, usually a small amount of bleeding
.
Erosion, the lesions are shallow, and perforation does not occur
.
.
Erosion, the lesions are shallow, and perforation does not occur
.
Stomach ulcers have a lot of 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 perforated
.
.
Blood vessel
5.
Cancer
Cancerous 5.
Cancerous
Acute erosive gastritis will not become cancerous.
Even if there is dysplasia in the pathological biopsy of flat erosion (Note: dysplasia is recognized as a precancerous lesion of gastric cancer), most of it is caused by inflammatory degeneration of cells, which can disappear after treatment, but it should be noted that some early gastric cancers may appear For a single erosion-like lesion, attention should be paid to identification, and if necessary, gastroscope reexamination; verrucous gastritis, due to repeated inflammation and fibrosis of the lesion, cells may mutate and become cancerous during the process of inflammation and repair
.
Even if there is dysplasia in the pathological biopsy of flat erosion (Note: dysplasia is recognized as a precancerous lesion of gastric cancer), most of it is caused by inflammatory degeneration of cells, which can disappear after treatment, but it should be noted that some early gastric cancers may appear For a single erosion-like lesion, attention should be paid to identification, and if necessary, gastroscope reexamination; verrucous gastritis, due to repeated inflammation and fibrosis of the lesion, cells may mutate and become cancerous during the process of inflammation and repair
.
stomach cancer
Stomach ulcers have a certain chance of becoming cancerous.
When the patient's pain rhythm changes (stomach ulcers were originally repeated regular postprandial pain, but now become irregular pain) or the previously effective drugs become ineffective or combined with weight loss, be vigilant The possibility of ulcers becoming cancerous
.
When the patient's pain rhythm changes (stomach ulcers were originally repeated regular postprandial pain, but now become irregular pain) or the previously effective drugs become ineffective or combined with weight loss, be vigilant The possibility of ulcers becoming cancerous
.
6.
Therapeutic effect
Therapeutic effect 6.
Therapeutic effect
The treatment principle of gastric erosion and ulcer is the same .
First, eradication of Helicobacter pylori, and then mainly antiacids (proton pump inhibitors or H2 receptor blockers, the former is better) combined with gastric mucosal protective agents
.
First, eradication of Helicobacter pylori, and then mainly antiacids (proton pump inhibitors or H2 receptor blockers, the former is better) combined with gastric mucosal protective agents
.
Stomach erosions and ulcers are treated in the same way
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 factors
.
In particular, it is closely related to diet and drugs.
In some patients, Helicobacter pylori has been eradicated, but endoscopy is performed every year, and it is still chronic superficial gastritis with erosion.
This is the relationship
.
.
In particular, it is closely related to diet and drugs.
In some patients, Helicobacter pylori has been eradicated, but endoscopy is performed every year, and it is still chronic superficial gastritis with erosion.
This is the relationship
.
Flat erosion is the best treatment for infection
Followed by the immature uplift type erosion, after a period of treatment, most of the uplift can subside, the erosion can be healed
.
.
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 heal
.
If the number of lesions is small, endoscopic argon ion, microwave and other coagulation treatments can be used.
First, the raised lesions are burned with argon ions, and then treated with proton pump inhibitors combined with gastric mucosal protective agents.
method; but when the number of raised lesions is large, this method will cause a lot of gastric mucosal wounds, which is very difficult
.
.
If the number of lesions is small, endoscopic argon ion, microwave and other coagulation treatments can be used.
First, the raised lesions are burned with argon ions, and then treated with proton pump inhibitors combined with gastric mucosal protective agents.
method; but when the number of raised lesions is large, this method will cause a lot of gastric mucosal wounds, which is very difficult
.
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 heal
.
The harm of chronic erosive gastritis to human health cannot be ignored.
If it is not treated in time, the development of the disease can be effectively curbed, and it can also develop into ulcers
.
If it is not treated in time, the development of the disease can be effectively curbed, and it can also develop into ulcers
.
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 done at the same time:
To prevent ulcers from recurring, the following three aspects must be done at the same time: To prevent ulcers from recurring, the following three aspects must be done at the same time:1.
Eradication of Helicobacter pylori
.
Eradication of Helicobacter pylori
.
2.
Ulcers have healed with white flat scars, most of which require more than three months of treatment
.
Ulcers have healed with white flat scars, most of which require more than three months of treatment
.
3.
The gastric mucosal inflammation is mildly inactive
.
The gastric mucosal inflammation is mildly inactive
.
Personal experience, the treatment of gastric ulcer is easier than verrucous gastritis
.
.
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 difficult
.
.
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