EROSION OF THE STOMACH
EROSION OF THE STOMACH - a superficial defect of the gastric mucosa that does not reach the muscular plate and heals without scarring. Gastric eruptions are often found in shock, burns, sepsis, after various operations (so-called stress injuries). The occurrence of gastric eruptions can be associated with taking medications (acetylsalicylic acid, ibuprofen, indomethacin, corticosteroids, etc.). Sometimes erosive lesions of the stomach (more often the antrum) may be an early stage of peptic ulcer disease. Often, gastric eruptions accompany tumors of the colon, chronic liver disease, cardiovascular system, respiratory system, blood (secondary erosion).
Distinguish between acute and chronic erosion. Acute erosion is most often located in the region of the bottom and body of the stomach. Chronic erosions are localized more often in the antrum part of the stomach. With erosive hemorrhagic gastritis in the mucosa, along with erosions, multiple hemorrhages with rejection of the superficial epithelium are noted.
Clinically, erosions of the stomach often manifest ulcerative or hemorrhagic syndromes. Yazvenvennopodobny syndrome can occur in people with acute and chronic erosions. Patients are concerned about pain in the epigastric region associated with eating, sometimes "hungry", nausea , eructation, heartburn. Hemorrhagic syndrome is observed more often in patients with acute erosion and erosive hemorrhagic gastritis, manifested by gastric bleeding and post-hemorrhagic anemia. Often there is an asymptomatic course of the process.
The leading method of diagnosis is gastroscopy. Treatment is basically the same as with peptic ulcer.
The prognosis for acute erosion is often favorable - they usually heal within 2 to 4 weeks, less likely to become chronic. The outcome of chronic erosion is focal hyperplasia of the mucosa, sometimes the formation of polyps.
Prevention is the same as in peptic ulcer disease: rational nutrition, sparing regimen, elimination of alcohol and smoking. In order to prevent relapses for the cured patients within 2 to 3 years, follow-up care is established.
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