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Gastroscopy to detect the danger of "intestinalization"? How to intervene? Check out the doctor's analysis!

In recent years, due to the accelerated pace of life of mainland residents and changes in living and eating environment, the incidence of chronic stomach diseases in the mainland has also become higher and higher.

According to relevant data studies, there are nearly 120 million patients with gastrointestinal diseases in China, of which patients with different types of chronic gastritis account for nearly 30%, that is, nearly 36 million people!

Gastroscopy to detect the danger of "intestinalization"? How to intervene? Check out the doctor's analysis!

Because the stomach is different from other substantial internal organs, the diagnosis and examination of chronic stomach disease mainly relies on "endoscopy".

Among patients with chronic gastritis in mainland China, some patients not only found that there were problems such as inflammation, erosion or ulceration in the stomach during gastroscopy, but even had symptoms of "enteration", but many patients did not understand enteration. So the question is, what exactly is intestinalization?

Gastroscopy to detect the danger of "intestinalization"? How to intervene? Check out the doctor's analysis!

Intestinalization is actually the clinical abbreviation of intestinal metaplasia. Under normal circumstances, there are undifferentiated cells in the neck of the inherent glands in the stomach, which belong to the proliferative center, which has the potential ability to differentiate into the stomach as well as the intestinal epithelial cells.

As a rule, it constantly differentiates and forms gastric-type epithelial cells to replenish the surface epithelial tissue that has aged and shed;

However, when a patient develops a chronic stomach disease, its differentiation will be problematic, and the epithelial cells of the gastric mucosa will be replaced by intestinal epithelial cells, that is, epithelial cells similar to the mucosa of the small or large intestine appear in the gastric mucosa. Usually, intestinal metaplasia occurs on the gastric mucosa in the pyloric gland region, which is essentially a common lesion of the gastric mucosa, and a variety of chronic stomach diseases can lead to enteratation.

Gastroscopy to detect the danger of "intestinalization"? How to intervene? Check out the doctor's analysis!

Entericization is mainly divided into two categories clinically, namely small intestine and colon metaplasia. Relevant studies have even shown that nearly 57.8% of chronic stomach diseases can be combined with intestinal metaplasia, especially small intestinal metaplasia is more common.

Although colon metaplasia is rare, its epithelial differentiation is poor, and the detection rate in benign gastric disease is extremely low, but the detection rate is higher in enteropathic gastric cancer, which also shows that there is a close association between colonic metaplasia and gastric cancer.

Gastroscopy to detect the danger of "intestinalization"? How to intervene? Check out the doctor's analysis!

That being the case, what should be done to prevent the appearance of intestinalization?

1. Treatment of chronic stomach disease

Many people don't pay much attention to chronic stomach diseases, thinking that as long as they take drugs to control them during the attack. As everyone knows, intestinal metaplasia is precisely a disease based on chronic stomach disease, and the more long-term the disease and the population that is not actively treated, the higher the incidence.

Therefore, in the clinical view, as long as it is diagnosed with chronic stomach disease, it should be treated and controlled according to the doctor's recommendation, and regularly reviewed;

Gastroscopy to detect the danger of "intestinalization"? How to intervene? Check out the doctor's analysis!

2. Diet

Seven points of chronic stomach disease depend on treatment, and three points depend on the patient's life conditioning and recovery. In the adjustment of life, the most important thing is the adjustment of diet. Patients should first maintain the regularity of three meals to avoid problems such as overeating and irregular meals.

Second, patients should choose healthy foods and maintain a light diet. Foods that are high in salt, high in calories, high in fat, spicy and irritating are not easy to digest and may increase the burden on the stomach should be avoided as much as possible.

Gastroscopy to detect the danger of "intestinalization"? How to intervene? Check out the doctor's analysis!

Finally, I would like to remind everyone that the appearance of entericization is basically based on atrophic gastritis. The incidence of atrophic gastritis is related to the improper treatment of superficial gastritis.

Therefore, when a stomach examination is performed and a chronic stomach is found, regardless of the type of stomach, the patient should actively carry out relevant treatment to avoid the disease from reaching the stage of enteration.

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