The treatment of gastric metaplasia, or 胃肠化 (wèi cháng huà) in Chinese, typically involves addressing the underlying causes and monitoring for potential complications. Here are some common treatment approaches:
1. H. pylori Eradication: If the metaplasia is associated with Helicobacter pylori infection, a course of antibiotics along with acid-suppressing medication may be prescribed to eradicate the bacteria.
2. Acid-Suppressing Medications: Proton pump inhibitors (PPIs) or histamine H2 receptor antagonists can be used to reduce gastric acid production and alleviate symptoms of acid reflux or gastritis.
3. Diet and Lifestyle Changes: Avoiding irritants such as alcohol, tobacco, and spicy foods can help reduce inflammation and promote healing of the gastric lining.
4. Regular Surveillance: Endoscopic surveillance may be recommended to monitor for changes in the metaplastic tissue, as it may increase the risk of developing gastric cancer.
5. Surgical Intervention: In rare cases, if metaplastic tissue shows signs of dysplasia or early cancer, surgical removal of the affected area may be considered.
It's important to work closely with a gastroenterologist to develop a personalized treatment plan based on the extent of the metaplasia and the presence of any risk factors for progression to more serious conditions. Regular follow-up and endoscopic examinations are key components of managing gastric metaplasia.
