verrucous gastritis
Introduction
Introduction to verrucous gastritis Gastritisverrucosa (VG): An endoscopic morphology reported by Moutler and Corner in 1947 - endoscopic flattened ridges, central umbilical depression, gastric mucosal lesions, gastric mucosal surface A lot of nodular, a chronic gastritis of acne-like protrusions, the lesions are more common in the antrum of the stomach. basic knowledge The proportion of illness: 0.005% Susceptible people: no specific population Mode of infection: non-infectious Complications: gastric ulcer, gastric ulcer bleeding
Cause
Cause of verrucous gastritis
1, Helicobacter pylori (HP) infection
According to reports at home and abroad, HP infection is the main cause of the disease.
2, abnormal immune mechanism
Some scholars believe that verrucous gastritis may be related to allergic reactions.
3, high acid theory
Although peptic ulcer is not directly from verrucous gastritis, the chances of coexisting are high. It is believed that verrucous gastritis is associated with high gastric acidity. H+ reverse diffusion into gastric mucosal cells where inflammation has been present. And combined with this disease, the ulcer is difficult to heal or easy to relapse. The disease is similar to the age of distribution of peptic ulcers, and is more common in young and middle-aged patients.
Prevention
Verrucous gastritis prevention
1, to avoid hard, rough, excessive fiber and difficult to digest food, but also to avoid too acidic, too spicy, too strong, salty and overheated food. Food should be nutritious and easy to digest.
2, should eat slowly, swallow, and fully mixed with saliva. Eat plenty of food and eat less.
Complication
Verrucous gastritis complications Complications, gastric ulcer, gastric ulcer bleeding
Stomach bleeding, anemia, stomach ulcers.
Symptom
Symptoms of symptoms of sputum gastritis Common symptoms Right upper quadrant pain nausea and vomiting vomit blood sputum
Clinical manifestations are not specific. There is upper abdominal pain, with dull pain and painfulness. Followed by upper abdominal distension, heating, pantothenic acid. One third of the cases had upper gastrointestinal bleeding (showing hematemesis and melena). A few cases can be asymptomatic. Although there are unique changes in morphology and histology, the clinical manifestations are indistinguishable from common chronic gastritis. After treatment or removal of the cause, the lesion can resolve. When a small number of lesions progress to the stage of intestinal metaplasia, the mound-like bulge is not easy to subside, but the prognosis is still good.
It is characterized by recurrent or persistent gastric mucosa with multiple sacral bulging lesions, round or irregular, mostly scattered in the antrum of the stomach, also visible in the body of the stomach, sometimes along the folds of the beaded, or A single ridge or a few lesions isolated from the antrum of the stomach, about 5 to 10 mm in diameter and about 2 to 3 mm in height. In the active period, the central ridges are smashed and sag, and bloody sputum and sphagnum moss cover the surface.
Examine
Examination of verrucous gastritis
Upper gastrointestinal endoscopy, Helicobacter pylori detection, gastrointestinal barium meal examination.
Diagnosis
Diagnosis and differentiation of verrucous gastritis
Diagnosis can be performed based on clinical performance and laboratory tests.
