1 The essence of the pathology

Erythematous gastropathy is a hyperemia of the gastric mucosa, revealed during the course of fibroadastroduodenoscopy. In addition, the study may be present swelling of the epithelium, its vulnerability, increased mucus.

This endoscopic syndrome occurs as a result of damaging effects of various factors on the gastrointestinal tract. As a consequence, there are erythema - redness caused by the influx of blood to the affected area. Damage is observed on the surface of tissues and does not affect the deep layers.

This condition is not a disease, but it is characteristic of superficial chronic erythematous gastritis. With this option, gastropathy persists for a long time, in the absence of adequate therapy it is able to pass into more serious diseases, for example, into an ulcer.

In the presence of epithelial hyperemia in the endoscopic picture, additional diagnostic tests may be required: for the presence of bacterial infection( Helicobacter), for the determination of acidity, in some cases a biopsy from the affected areas is taken.

Sometimes this symptom does not manifest itself in any way and is detected accidentally during a preventive examination.

2 Etiology of occurrence of

To get rid of erythematous gastropathy( gastroduodenopathy), it is necessary to identify and eliminate the damaging factor that caused it. The emergence of this pathology is provoked by the following reasons:

• irrational nutrition: excessive consumption of spicy, fried, salty, smoked food, abuse of fast food, carbonated drinks and so on. WARNING!The reception of such a meal before the procedure of EGF triggers the appearance on the endoscopic picture of foci of hyperemia;
• taking certain types of medications that affect the mucosa of the digestive tract( NSAIDs, glucocorticosteroids, antibiotics, anticoagulants, etc.);
• is an infectious factor. The development of this gastropathy is promoted by certain bacteria, in particular Helicobacter pylori, and fungal pathogens;
• reflux( casting) of bile into the stomach, exposure to hydrochloric acid at long intervals between meals;
• stress factors: anxiety, lack of sleep, nervous and physical overload;
• bad habits: smoking, alcoholism;
• hormonal dysfunction and metabolic disorders;
• congestion in the digestive tract;
• hereditary factor;
• concomitant diseases can trigger the etiological mechanism of the appearance of gastropathy( pancreatitis, cholecystitis, enteritis and others);
• ischemic manifestations in the gastric wall;
• food and drug allergies.

3 Classification of the disease

The method of diagnosis of this pathology is fibrogastroduodenoscopy. This is the most reliable way to determine the hyperemia in the digestive tract. The doctor examines the esophagus, the stomach cavity and the duodenum with the help of a special device - an endoscope. In some cases, the biomaterial is taken for histological examination.

When performing the procedure, various parameters of the mucous membrane of the digestive tract are evaluated in order to establish the correct diagnosis and assessment of the patient's condition. Depending on them, there is the following classification of erythematous gastropathy.

Based on the form of

In this case, the prevalence of the area of ​​hyperemia is estimated.

• Focal form is characterized by limited( local) lesion, the inflammatory process occupies a small portion of the mucosa. Such a state rarely turns into gastritis, often occurs situationally with an error in nutrition or as a reaction to taking certain medications.
• A common or diffuse form has a diffuse character, erythema can be detected in different gastric areas, covering a large surface of tissues. In the absence of proper treatment can lead to complications - gastritis and peptic ulcer.

According to the degree of inflammation of

, the classification in this case includes an evaluation of the mucosal state, measures of the effects of damaging factors on the envelope.

• Erythematous gastropathy of the first degree of inflammation is characterized by initial manifestations of gastric epithelial damage, with no signs of neglect of the disease;
• The second degree indicates the progression of the process as a result of the continuing negative impact of damaging factors on the epithelium. In this case, the process turns into a chronic form of gastropathy or gastritis.

IMPORTANT!Usually, this condition is observed in the absence of treatment or inadequate therapy.

4 Symptoms of

Complaints from patients who have been diagnosed with erythematous gastropathy during fibroadastroduodenoscopy depend on the stage, the prevalence of the process, the resistance of the organism. With a focal form, the symptomatology may be absent, with its diffuse manifestation similar to the clinic of chronic gastritis and are expressed by the following dyspeptic and general phenomena:

• tenderness in the area of ​​the epigastrium. Occurs after some time after eating. Depending on the severity of the process, the sensations range from slight discomfort to significant soreness that occurs not only after eating but also drinking;
• eructation, sensation of stomach overflow, nausea, vomiting due to congestion in the gastrointestinal tract, which causes food to be processed more slowly;
• weight loss, weakness, fatigue, deterioration of hair and nails are associated with dysfunction of absorption of nutrients. In this case, a general blood test may show a decrease in hemoglobin;
• from the intestine is present bloating, stool disorders, flatulence;
• appearance in the language of a white or yellowish plaque.

5 Methods of therapy

The rate of progression of erythematous gastropathy directly depends on the time of action on the gastric mucosa of damaging factors. The sooner the cause causing the hyperemia of the tissues is established and eliminated, the sooner the recovery will come.

First and foremost, it is recommended to observe the correct diet. Food is cooked for a couple, irritating dishes are excluded: spicy, spicy, salted, smoked, carbonated drinks, alcohol, coffee. Black tea is preferably replaced with herbal or plain water. Recommended for use liquid porridge, low-fat varieties of meat and fish, jelly, broths, cottage cheese, egg whites, jellies. Food should be warm, excessively hot or cold food that further irritates the mucosa and causes a spasm of smooth muscles.

In addition to diet, it is necessary to comply with diet. It is recommended to take food with an interval of 2-3 hours. Portions should be small( about 350 g), so as not to overload the digestive tract. You should avoid overeating, after which there is rotting excess food in the stomach, which is accompanied by symptoms of eructation, nausea, severity.

IMPORTANT!If the underlying cause of erythematous gastropathy was errors in nutrition, then dieting for a week should contribute to positive dynamics of the condition.

If gastric emptying occurs as a result of taking medications, it is advisable to abandon them if possible, or to change to a more mild action. If this is not possible, in order to mitigate the irritant effect on the mucosa, these drugs are combined with stomach-supporting drugs. For example, the forced admission of funds from the group of NSAIDs( nimulide, ketanol, paracetamol, etc.) can be combined with the use of antisecretory drugs( Omez, Omeprazole, Kwamatel, etc.).It is also desirable to alternate the use of irritant drugs with antacids( Almagel, Fosfalugel).However, you need to do this with an interval between them about 2 hours, in order to avoid reducing the drug effect.

It is necessary to abandon bad habits, in particular from smoking. It is also recommended to minimize stress factors, establish an optimal working and rest regime.

Drug therapy is prescribed based on a comprehensive assessment of patient complaints and diagnostic criteria. With increased acidity, it is recommended to take proton pump inhibitors that have an antisecretory effect. Appointed astringents, gastroprotective agents( preparations of bismuth), antacids with enveloping action( Almagel, Maalox, etc.).It shows the use of drugs that regulate the motor system of the digestive tract( Ganaton), drugs that have a protective and restoring effect on the stomach tissue( Gastrocepin, Gastrofarm).When confirming the presence of Helicobacteria therapy is supplemented with antibiotics.

Surgical treatment of this pathology is carried out in very rare cases, when drug therapy is unsuccessful. It is carried out by resection( removal) of affected areas, access to which occurs through the mouth and esophagus into the stomach. This method ensures minimal tissue trauma.

Treatment with folk methods in combination with medication promotes faster recovery. For this, infusions and herbal infusions are used, for example, a gastric collection that can be purchased at a pharmacy. Enveloping effect has a decoction of oats, with reduced acidity, fresh cabbage juice is used. Before using any folk remedies, it is recommended that you consult with your doctor.

6 Conclusion

Erythematous gastropathy is usually a sign of an incorrect lifestyle and is well susceptible to diagnosis and treatment. Often, the complete elimination of this endoscopic syndrome is enough to comply with the recommended diet and diet.

In case of symptoms of gastropathy, proper medical therapy allows you to quickly get rid of them. The earlier treatment is started, the faster and more efficiently its result. In order to avoid the occurrence of complications and the transition of the state to a chronic form at the first signs of the disease, it is recommended to seek medical help.