Gastritis is an inflammation of the mucous tissues of the stomach as a result of chemical, thermal or mechanical effects. In the absence of full-fledged and timely treatment, this disease can pass from acute to chronic stage.
The diagnosis for this disease is based on the collection of anamnesis, a thorough study of the symptoms, certain methods of research, as well as analysis of the patient's blood and gastric juice. A survey begins with a survey that primarily concerns the patient's eating habits and the patient's harmful preferences. After the doctor carefully examines the patient, paying special attention to the condition of the skin, smell from the mouth and tenderness when palpating in the ileum. The final conclusions about the form and extent of the disease, as well as the appointment of a complex of treatment in gastroenterology, are made only after endoscopic, radiologic and functional studies of the stomach.
Differential diagnosis of chronic gastritis
Diagnosis of chronic gastritis is difficult, because this disease is very diverse in its manifestation and all its symptoms allow only to suspect a violation of the integrity of the mucous membrane. In addition, this disease can often be asymptomatic or resemble a completely different disease, for example, peptic ulcer. That is why among the various methods of research a special place is given to the differential diagnosis of chronic gastritis.
First of all, this disease must be distinguished from other diseases, in particular from appendicitis, cholecystitis, intestinal disorders, salmonellosis and myocardial infarction, so the patient's examination begins with differential diagnosis. After carrying out the research, the patient is often diagnosed with a differential diagnosis of chronic gastritis in combination with an additional disease. The most often differential diagnosis of chronic gastritis is adjacent to peptic ulcer, stomach cancer and functional disorders.
Diagnosis of chronic gastritis: FGDS method
Thanks to the methods used, it is possible to recognize gastritis at the stage of superficial changes of the mucous membranes and prevent the transition of the disease into a chronic form. The most important role in the complex of researches is occupied by the method of EGF.
Fibrogastroduodenoscopy( FGDS) is a research method that allows to examine the gastric mucosa and, if suspicious areas are detected, take tissue for analysis. The procedure of FGD in chronic gastritis is carried out using a flexible probe equipped with a backlight and a manipulator. Using the manipulator, you can perform various actions, for example, taking tissue samples for a biopsy, burning or freezing damaged areas of the stomach mucosa. In addition, at the end of the probe there is a small video camera, through which the image is displayed on the monitor screen. The procedure of EGF is mandatory in this disease, as it allows you to get the most complete picture of the state of the gastric mucosa. This method of research has been used for decades, and is still the most important and reliable way of obtaining information about the patient's condition. In addition, the gastroscope has become much more convenient and easier to use, which has a beneficial effect on the condition of patients during the procedure.
The medical diagnosis is usually formulated on the basis of the most important criteria describing the origin of the disease, its duration, stage, shape, and flow peculiarity. More often, in the formulation of the diagnosis of chronic gastritis, in addition to the duration of the disease, its additional characteristics are reflected, indicating the extent of the lesion and the morphological picture of the disease.