When a patient has a chronic gastritis with intestinal metaplasia of long evolution, it can end up presenting gastric cancer.
Different factors such as Helicobacter pylori cause chronic inflammation in the stomach lining, and the cells that line it attempt to adapt to defend it. This modification of the tissues is called Intestinal metaplasia. Which is to say, it turns into a coating similar to that found in the duodenum.
Intestinal metaplasia is often caused by chronic inflammation in the stomach lining, most commonly due to infection with *Helicobacter pylori* or autoimmune gastritis. It can also be linked to long-term exposure to bile reflux, certain medications, and possibly dietary factors.
Whether intestinal metaplasia "heals" depends on whether the underlying cause can be treated and reversed. If the cause, such as *H. pylori* infection, is successfully eradicated, the condition may improve or even return to normal in some cases. However, if the inflammation is extensive or has been present for a long time, the changes may be permanent. It's important to note that while the metaplastic changes themselves might not fully reverse, managing the underlying cause can help prevent further progression and reduce the risk of developing more serious conditions like gastric cancer. Regular monitoring is often recommended for individuals with intestinal metaplasia.
Some factors that favour its appearance are, in addition to the Helicobacter pylori bacteria, smoking and drinking alcohol, genetic conditions or a high sodium level.
The solution often lies in eradicating the Helicobacter pylori bacteria and other risk factors if possible. The initial step involves detecting the infection by Helicobacter pylori. The specialist treating you will need to carry out a direct test on the gastric mucosa using gastroscopy or an indirect laboratory study (breath test). Once diagnosed, it must be treated with a combination of antibiotics. Its elimination can help reduce gastric inflammation and will significantly decrease the chances of developing stomach cancer.
It is worth noting that, although intestinal metaplasia heals, it does not do so immediately, as it may take months or years.
Treatment to cure intestinal metaplasia
As has been previously mentioned, intestinal metaplasia is reversible. To achieve this, it is essential to practise a Gastroscopy, that is, inserting a tube through the mouth to inspect the stomach area via a high-resolution micro-camera. During this process, samples will be taken Stomach samples to enable a precise diagnosis.
At our Digestive Medicine centre in Madrid, we will advise you on how to approach this problem so that your stomach gradually returns to normal. In addition to the use of antibiotics, there is a diet that aids swift recovery. Some of the recommendations would be:
- Control intake of products high in salt.
- Increase the consumption of fruit and vegetables, especially those rich in Vitamins A, C and E because they prevent oesophageal cancer.
- Avoid eating processed foods y Red meat excessively.
Do you have any questions? Consult us.
While it is true that intestinal metaplasia can be cured, Changing bad habits, As smoking or consuming alcohol do, are an advantage when it comes to treating these types of disorders.
Do you have doubts? In Gas station we have the Best digestive doctors. Our Professionals they will help you recover and guide you through the treatment to follow. Visit us at our expert digestive medicine clinic in Madrid.
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