The erosion of the stomach
General characteristics of the disease
The erosion of the stomach or erosive lesions of the mucous membrane of the body - one of the most common gastroduodenal diseases. It is a defect in the surface tissues of the stomach, without involvement in the muscular layer of the body.
Gastric erosions in combination with a defect is diagnosed duodenal mucosa in 10-15% of patients undergoing gastrointestinal endoscopy. The disease was first described by the Italian pathologist Giovanni Morgagni in 1756, the year.
The reasons for the erosion of the stomach
The reason for the erosion of the stomach are considered violations of the balance between protective and aggressive factors of gastric environment. Such imbalance leads:
- operations on the organs of the gastrointestinal tract,
- psycho-emotional disorders,
- burns to the gastric mucosa the abuse hot or spicy foods, alcohol, certain medications,
- systemic toxic effects of nicotine, heavy metal salts, alkalis, corrosive substances.
The formation of the erosion of the stomach often contribute to chronic diseases of the metabolism, and for example, liver and heart failure, diabetes, pancreatitis, etc.
There is also a theory about the influence of the microorganism Helicobacter pylori on the state of the upper layers of stomach tissue. Today, this theory has not been proved, but it is known that up to 90% of patients with gastric erosion are carriers of antibodies to Helicobacter pylori.
Forms of erosion of the stomach
The most widespread disease of systematization V.Vodolaginu. According to it identify several species of erosive defect of the gastric mucosa:
- Primary gastric erosion (ie, self-pathology)
- secondary erosion of the stomach (in lesions of the cardiovascular system, liver, etc.)
- malignant gastric erosion (when cancer pathology and Crohn's disease).
In addition, the erosion of the stomach can be acute or chronic, single and multiple, and flat polipovodnoy or hemorrhagic, ie, Bleeding.
The type of erosion of the stomach depends on the duration of the disease. With dynamic gastropically Observer has learned that the acute erosion of the stomach zarubtsovyvaetsya on average within 10 days. In severe cases of the gastric mucosa epithelialization process lasts 2-8 weeks. The sharp erosion of the stomach are usually located in the proximal (central) parts of the body.
Chronic erosion of the stomach is characterized by the existence of a longer, up to 5 years or more. It is localized mainly in antral (output) of the stomach. Bleeding and relapses are more common concomitant erosion of the stomach and duodenum.
Symptoms of gastric erosion
The clinical picture of gastric erosion in many ways similar to the peptic ulcer clinic authority. Specific symptoms of erosion of the stomach is called the intensity of pain.
Unlike gastric ulcer pain of gastric erosion is more pronounced and is characterized by extreme resistance flow. In some patients the pain to stop completely is not possible, even in the treatment of erosion of the stomach for 1-2 months.
Yazvopodobnye signs of erosion of the stomach:
- Night pain on an empty stomach,
- dyskinesia (disorder of the biliary system)
- dyspepsia (violations digestion).
Diagnostic criteria of erosion of the stomach are hidden blood in the stool and anemia.
Type of erosion of the stomach is determined by endoscopic gastroduodenal research and analysis of the mucous tissue biopsy.
Treatment of gastric erosion
Treatment of gastric erosion - long with regular endoscopic control the state of the mucous body.
The standard treatment for gastric erosion acts antiulcer therapy with drugs, proton pump inhibitors and H2 blockers. Antibiotics in the treatment of gastric erosions used if the patient has been identified microorganism Helicobacter pylori.
In the treatment of secondary forms of the erosion of the stomach-cytoprotectors used drugs and synthetic prostaglandins. Thanks to them, accelerating the healing time of gastric mucosa.
Blood circulation in the tissues in the affected areas of the mucous significantly improves the effect of low-intensity laser. Laser treatment of gastric erosion of hemorrhagic type carried out exclusively in the surgical hospital.
For prevention of rebleeding used H2-blockers of histamine receptors, such as Kvamatel. In the treatment of gastric erosions chronic form of well proven drugs - gastroprotectives, for example, based on colloidal bismuth subcitrate.
Medical nutrition in gastric erosion
An important part of treatment of the disease is a health food with the erosion of the stomach.
The main principle of the diet in the erosion of the stomach - the maximum mechanical, thermal and chemical sparing the mucous body. This means that in clinical nutrition at the erosion of the stomach is strictly prohibited:
- turnips, radishes, turnips, stringy meat, cereals, bread with bran and other products with roughage and fiber
- fried foods,
- carbonated drinks,
- citrus juices,
- strong meat broth,
- hot and cold food.
Mandatory elements in the erosion of the stomach diet are dairy products:
- low-fat sour cream,
- solid non-fat cheese.
It is believed that these products contribute to the production of enzymes that speed up the regenerative processes in the gastric mucosa. And so their active use in the diet of the erosion of the stomach - an important condition for rapid healing of the mucosa.
The recommended diet during erosion of the stomach - 4-6 times a day in small portions. Food for diet in the erosion of the stomach is recommended boiled or steamed. Traditional dishes diets when erosion stomach- steam cutlets, oatmeal, scrambled eggs, semolina, jelly, mucous soups.
Folk remedies for gastric erosion
Effective folk remedy for gastric erosion considered celandine. One tablespoon of herbs should pour 1 cup boiling water and insist in a thermos 1, 5 hours. The prepared infusion should be drunk during the month and 1 tablespoon 3 times a day for 30 minutes before eating. After a ten-month break, the treatment of gastric erosion celandine is recommended to repeat.
Effective folk remedy for gastric erosion is also a mixture of grass St. John's wort tincture, yarrow, celandine and chamomile flowers, taken in the ratio of 2: 2: 1: 2. 20g drug collection should insist for an hour with a glass of boiling water, and then drink 100g 3 times a day for half an hour before meals.
Cope with the erosion of the stomach folk remedy - collect grass St. John's wort (4 parts), knotweed (2), cudweed (4), celandine (2), sage (2), the root of sweet flag (0, 5), peppermint leaves (0, 5) and yarrow flowers (1 part). 20 g of dry mix of folk remedies for gastric erosion pour 200 g of boiling water and insist in a thermos for 8-10 hours. Drink prepared infusion should be 3-4 times a day for 200g an hour after eating.
Tasty folk remedy for gastric erosion - a teaspoon of honey every morning on an empty stomach. When severe pain is more effective propolis.
All folk remedies from erosion of the stomach is recommended to combine traditional medical drugs and diet at the erosion of the stomach.