What is chronic gastritis with intestinal metaplasia (intestinal metaplasia)?

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After the completion of gastroscopy and biopsy of patients to take the report, and sometimes will see such a few words: intestinal +, of cou

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After the completion of gastroscopy and biopsy of patients to take the report, and sometimes will see such a few words: intestinal +, of course, here can be 1 +, but also 2 or 3 +. What're the meaning of them? Is it dangerous? Some patients do not take it seriously, do not want to think about it, that it is not important, but also some patients with excessive tension, that intestinal metaplasia will be transformed into gastric cancer. These two attitudes are not appropriate. Below, I will introduce what is intestinal in the end, I hope to give you a satisfactory answer.

Intestinal metaplasia refers to the replacement of the glandular glands of the gastric mucosa by the intestinal glands. + refers to the intestinal glands and epithelial surface area accounts for the total area below 1/3; refers to the percentage of 1/3 ~ 2/3 + + + + + is accounted for more than 2/3.

There is no uniform standard for the classification of intestinal metaplasia. There is a type of intestinal metaplasia can be divided into 3 types: type I is a complete intestinal metaplasia, which contains intestinal cells, goblet cells and absorptive function of epithelial cells. The intestinal metaplasia does not increase the risk of stomach cancer.

II type of intestinal metaplasia is a kind of incomplete intestinal metaplasia, containing a small amount of absorptive cells, a small number of columnar cells in the middle shape, and some goblet cells. Type III is a kind of state between I type and II type, which has the characteristics of I type and II type.

According to the analysis, the risk of gastric cancer in patients with type II or type III increased about 20 times. In a follow-up study of 5 years, of the patients with type intestinal metaplasia, gastric cancer was found to be a precursor of gastric cancer, which was associated with the presence of III.

So, we can not let down the intestine.

 

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