Results of long-term follow-up of patients with chronic gastritis after <i>H. pylori</i> eradication

The aim of publication. To analyze approach for long-term management of patients with chronic gastritis after H. pylori eradication for stomach cancer prevention by the example of clinical cases.Key points. The management approach of patients with chronic gastritis after eradication of H. pylori is...

Full description

Saved in:
Bibliographic Details
Main Authors: T. L. Lapina, A. S. Tertychny, E. R. Nasretdinova, I. M. Kartavenko, A. V. Paraskevova, Ye. Yu. Yur’yeva, O. A. Storonova, A. S. Trukhmanov, V. T. Ivashkin
Format: Article
Language:Russian
Published: Gastro LLC 2015-09-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
Subjects:
Online Access:https://www.gastro-j.ru/jour/article/view/1058
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823860160053903360
author T. L. Lapina
A. S. Tertychny
E. R. Nasretdinova
I. M. Kartavenko
A. V. Paraskevova
Ye. Yu. Yur’yeva
O. A. Storonova
A. S. Trukhmanov
V. T. Ivashkin
author_facet T. L. Lapina
A. S. Tertychny
E. R. Nasretdinova
I. M. Kartavenko
A. V. Paraskevova
Ye. Yu. Yur’yeva
O. A. Storonova
A. S. Trukhmanov
V. T. Ivashkin
author_sort T. L. Lapina
collection DOAJ
description The aim of publication. To analyze approach for long-term management of patients with chronic gastritis after H. pylori eradication for stomach cancer prevention by the example of clinical cases.Key points. The management approach of patients with chronic gastritis after eradication of H. pylori is presented by the example of patients with various risk of development of stomach cancer. In one and half year after successful eradication therapy in 57 year-old female patient mild atrophy and intestinal metaplasia of antrum without atrophy and intestinal metaplasia of corpus of the stomach was confirmed. At absence of other risk factors for cancer development further endoscopic follow-up is not required. Monitoring of 62 year-old male patient after successful eradication for 5 years has shown stable morphological pattern without progression of premalignant lesions. Taking into account both severe atrophy and intestinal metaplasia of antral region and mild atrophy of body of the stomach, as well as positive family history, esophagogastroscopy with biopsy is recommended once per year to this patient.Conclusion. Prognosis and management approach of patients after eradication of H. pylori infection are determined by chronic gastritis in relation to severity of atrophy and intestinal metaplasia of antral region and corpus of the stomach, along with other risk factors for cancer development e.g. positive family history.
format Article
id doaj-art-cef4c550938b4116bb4a0b51ab0f639f
institution Kabale University
issn 1382-4376
2658-6673
language Russian
publishDate 2015-09-01
publisher Gastro LLC
record_format Article
series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-cef4c550938b4116bb4a0b51ab0f639f2025-02-10T16:14:34ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732015-09-01254101108663Results of long-term follow-up of patients with chronic gastritis after <i>H. pylori</i> eradicationT. L. Lapina0A. S. Tertychny1E. R. Nasretdinova2I. M. Kartavenko3A. V. Paraskevova4Ye. Yu. Yur’yeva5O. A. Storonova6A. S. Trukhmanov7V. T. Ivashkin8Sechenov First Moscow state medical university, Ministry of Healthcare of the Russian FederationSechenov First Moscow state medical university, Ministry of Healthcare of the Russian FederationSechenov First Moscow state medical university, Ministry of Healthcare of the Russian FederationSechenov First Moscow state medical university, Ministry of Healthcare of the Russian FederationSechenov First Moscow state medical university, Ministry of Healthcare of the Russian FederationSechenov First Moscow state medical university, Ministry of Healthcare of the Russian FederationSechenov First Moscow state medical university, Ministry of Healthcare of the Russian FederationSechenov First Moscow state medical university, Ministry of Healthcare of the Russian FederationSechenov First Moscow state medical university, Ministry of Healthcare of the Russian FederationThe aim of publication. To analyze approach for long-term management of patients with chronic gastritis after H. pylori eradication for stomach cancer prevention by the example of clinical cases.Key points. The management approach of patients with chronic gastritis after eradication of H. pylori is presented by the example of patients with various risk of development of stomach cancer. In one and half year after successful eradication therapy in 57 year-old female patient mild atrophy and intestinal metaplasia of antrum without atrophy and intestinal metaplasia of corpus of the stomach was confirmed. At absence of other risk factors for cancer development further endoscopic follow-up is not required. Monitoring of 62 year-old male patient after successful eradication for 5 years has shown stable morphological pattern without progression of premalignant lesions. Taking into account both severe atrophy and intestinal metaplasia of antral region and mild atrophy of body of the stomach, as well as positive family history, esophagogastroscopy with biopsy is recommended once per year to this patient.Conclusion. Prognosis and management approach of patients after eradication of H. pylori infection are determined by chronic gastritis in relation to severity of atrophy and intestinal metaplasia of antral region and corpus of the stomach, along with other risk factors for cancer development e.g. positive family history.https://www.gastro-j.ru/jour/article/view/1058chronic gastritish. pyloriatrophyintestinal metaplasiaeradication therapy
spellingShingle T. L. Lapina
A. S. Tertychny
E. R. Nasretdinova
I. M. Kartavenko
A. V. Paraskevova
Ye. Yu. Yur’yeva
O. A. Storonova
A. S. Trukhmanov
V. T. Ivashkin
Results of long-term follow-up of patients with chronic gastritis after <i>H. pylori</i> eradication
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
chronic gastritis
h. pylori
atrophy
intestinal metaplasia
eradication therapy
title Results of long-term follow-up of patients with chronic gastritis after <i>H. pylori</i> eradication
title_full Results of long-term follow-up of patients with chronic gastritis after <i>H. pylori</i> eradication
title_fullStr Results of long-term follow-up of patients with chronic gastritis after <i>H. pylori</i> eradication
title_full_unstemmed Results of long-term follow-up of patients with chronic gastritis after <i>H. pylori</i> eradication
title_short Results of long-term follow-up of patients with chronic gastritis after <i>H. pylori</i> eradication
title_sort results of long term follow up of patients with chronic gastritis after i h pylori i eradication
topic chronic gastritis
h. pylori
atrophy
intestinal metaplasia
eradication therapy
url https://www.gastro-j.ru/jour/article/view/1058
work_keys_str_mv AT tllapina resultsoflongtermfollowupofpatientswithchronicgastritisafterihpyloriieradication
AT astertychny resultsoflongtermfollowupofpatientswithchronicgastritisafterihpyloriieradication
AT ernasretdinova resultsoflongtermfollowupofpatientswithchronicgastritisafterihpyloriieradication
AT imkartavenko resultsoflongtermfollowupofpatientswithchronicgastritisafterihpyloriieradication
AT avparaskevova resultsoflongtermfollowupofpatientswithchronicgastritisafterihpyloriieradication
AT yeyuyuryeva resultsoflongtermfollowupofpatientswithchronicgastritisafterihpyloriieradication
AT oastoronova resultsoflongtermfollowupofpatientswithchronicgastritisafterihpyloriieradication
AT astrukhmanov resultsoflongtermfollowupofpatientswithchronicgastritisafterihpyloriieradication
AT vtivashkin resultsoflongtermfollowupofpatientswithchronicgastritisafterihpyloriieradication