重视慢性萎缩性胃炎的内镜监测  

Emphasize endoscopic surveillance of chronic atrophic gastritis

作　　者：吕宾[1] 孙橹 LV Bin;SUN Lu(Department of Gastroenterology,First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou,310006,China)

机构地区：[1]浙江中医药大学附属第一医院消化内科,杭州310006

出　　处：《中国中西医结合消化杂志》2024年第6期469-472,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

摘　　要：慢性萎缩性胃炎作为胃癌前病变具有进展为胃癌的风险,对慢性萎缩性胃炎患者进行合理的管理、监测,有助于早期发现胃癌,提高患者的生存率,改善预后。不同程度和范围的萎缩发生胃癌的风险不同,因此,应对萎缩性胃炎进行胃癌风险分层,制定不同周期的监测计划,并在监测过程中关注幽门螺杆菌感染状态以及萎缩、肠化变化,寻找并识别病灶,以提高早期胃癌的检出率。Chronic atrophic gastritis,as a precancerous lesion of gastric cancer,has a risk of progression to gastric cancer.Rational management and surveillance of patients with chronic atrophic gastritis can help to detect gastric cancer at an early stage,increase the survival rate of patients,and improve the prognosis.The risk of developing gastric cancer varies with different degrees and ranges of atrophy.Therefore,it is necessary to stratify the risk of gastric cancer in atrophic gastritis,develop surveillance plans for different cycles,and pay attention to Helicobacter pylori infection state,as well as changes in atrophy,intestinal metaplasia during the surveillance,search for and identify lesions,and improve the detection rate of early gastric cancer.

关 键 词：胃黏膜萎缩 早期胃癌 内镜术 监测 

分 类 号：R256.3[医药卫生—中医内科学]