Thursday, June 19, 2008

Gastroscopy What are the characteristics of various types of gastritis

Since the last 20 or 30 years, fiber endoscope to promote the rapid development and application to the diagnosis of gastritis has brought profound changes. At present the world in the diagnosis of various types of gastritis, primarily on the basis of gastric endoscopy performance and the pathological changes of gastric mucosa. All kinds of gastritis in gastroscope have their own characteristics: (1) chronic superficial gastritis: gastric mainly red, white phase, mainly to red, or mild Huaban like change, mild congestion, edema, and sometimes can see the light of the new and old bleeding. (2) erosive gastritis: gastric congestion, edema more pronounced, with a bit, Flake of erosion. Erosion can stomach were two forms, one for the complete, circular lesions or more for round mucosa uplift, erosion necrosis of the Centre for gray coverage, marginal uplift, congestive. Another type is not completely rotten to the core, flat lesion in the mucosa, was, films, linear or plastic, the Centre for fresh bleeding red or brown old bleeding, with white or yellow moss moss, around a Hongyun. (3) Bile-Gastritis: gastroscopy see clearly mucosal edema, congestion, rough, fragile and more polluted surface, with yellow-green bile, mucus in the lake contains a lot of bile. (4) verrucous gastritis: also known as chronic erosive gastritis. Gastric mainly Douzhen like smallpox or measles-like change, like the image of that kind uplift Du Qiyan, approximately 0.5 cm in diameter around, and good in the antrum, followed by the lower part of stomach. More scattered distribution, the number of different. (5) Atrophic Gastritis: gastric red, white phase, mainly white, the scope of Kedakexiao, but also a patchy distribution, mucosal vascular network that dialysis. Fine wrinkles change gastric wall thinning, and sometimes visible in the mucous membrane on the formation of epithelial cell proliferation of small particles. It should be noted that, although all kinds of gastritis in the name of the generic, but endoscopic findings and does not describe exactly the same, this depends primarily on physician awareness of endoscopy and experience.

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