Does gastroscopy indicate the importance of atrophic gastritis

Gastroscopy suggests that the severity of atrophic gastritis should be judged based on pathological grading. Mild atrophy usually does not require excessive concern, while moderate to severe atrophy requires vigilance against the risk of cancer. Atrophic gastritis may be related to factors such as Helicobacter pylori infection, long-term bile reflux, and autoimmune disorders. It usually manifests as symptoms such as upper abdominal pain, bloating, and decreased appetite. Patients with mild atrophic gastritis have a relatively mild degree of glandular reduction in the gastric mucosa, and most of them have no obvious symptoms or only show mild indigestion. These patients can be intervened through eradication of Helicobacter pylori, supplementation of folic acid and vitamin B12, and regular gastroscopy follow-up. Daily avoidance of high salt, pickled, and smoked foods, as well as smoking cessation and alcohol restriction, can help delay the progression of the disease. Patients with moderate to severe atrophic gastritis have extensive atrophy of gastric mucosal glands or accompanied by intestinal metaplasia, and the probability of cancer is significantly increased. In addition to standardized treatment, it is recommended that patients of this type undergo gastroscopy examination every 1-2 years, and if necessary, mucosal resection surgery should be performed to prevent cancer. Patients with severe dysplasia should consider endoscopic treatment or surgical intervention. Long term gastric acid deficiency patients should pay attention to supplementing iron and calcium supplements to prevent anemia and osteoporosis. Regardless of the severity of the condition, a standardized follow-up plan should be established after the diagnosis of atrophic gastritis. Fresh fruits and vegetables, high-quality protein, and easily digestible foods should be selected for daily diet, and steaming and stewing are the main cooking methods. Maintaining a regular daily routine and emotional stability can help improve gastrointestinal function. Early warning symptoms such as sudden weight loss, vomiting blood, and black stools require immediate medical attention.