自身免疫性胃炎的诊治新进展  

Update on diagnosis and treatment in autoimmune gastritis

作　　者：宗晔[1] Zong Ye(Department of Gastroenterology,Beijing Friendship Hospital,Capital Medical University,State Key Laboratory for Digestive Health,National Clinical Research Center for Digestive Diseases,Beijing100050,China)

机构地区：[1]首都医科大学附属北京友谊医院消化内科,消化健康全国重点实验室,国家消化疾病临床研究中心,北京100050

出　　处：《中华预防医学杂志》2024年第11期1752-1757,共6页Chinese Journal of Preventive Medicine

基　　金：北京市医院管理局消化内科学科协同发展中心特色项目(XXT08)。

摘　　要：自身免疫性胃炎(AIG)是自身免疫异常导致的特殊类型的萎缩性胃炎, 因早期缺乏特异性的表现, 容易被延误诊断, 导致治疗不及时和癌症筛查不及时, 提高消化科医生对AIG的认识对疾病防治具有重要意义。本文概述了AIG的临床表现、内镜特点及治疗方法。常规治疗包括对症治疗及补充充足的铁和维生素B12。定期内镜随访筛查胃癌和胃神经内分泌肿瘤。以期本文对防治AIG有一定的帮助。Autoimmune gastritis(AIG)is a special type of atrophic gastritis caused by autoimmune abnormalities.Diagnosis of AIG is often delayed because of the absence of typical symptoms in the early stage,which results in inadequate treatment and poor cancer screening.It is crucial to improve the awareness of this disease.This article summarizes the clinical manifestations,endoscopic features,and treatments of autoimmune gastritis.Conventional therapy consists of adequate iron and vitamin B12 supplementation as well as symptomatic approaches.The associated risk for gastric adenocarcinoma and gastric neuroendocrine tumors requires regular endoscopic follow up.This article is helpful in prevention and treatment of AIG.

关 键 词：自身免疫性胃炎 诊断 治疗 胃肿瘤 

分 类 号：R573[医药卫生—消化系统]