Is it possible to develop polyps if gastric inflammation is severe?

In daily life, many people will have gastrointestinal inflammation problems from time to time. They always feel that the occurrence of this disease is very harmful. If they are not diagnosed in a hurry, it will cause many serious consequences. Generally, polyps may appear if the inflammation is severe, but there is no specific indication, so diagnosis is still needed to know.

Diagnosis and Differentiation of Gastritis

Gastritis can be divided into acute gastritis and chronic gastritis according to the severity of the disease. Acute gastritis includes acute simple gastritis, acute erosive gastritis, acute suppurative gastritis, etc. Chronic gastritis includes chronic superficial gastritis, chronic erosive gastritis and chronic atrophic gastritis. Others include bile reflux gastritis, antral gastritis, Helicobacter pylori infection, etc. This classification has nothing to do with acute or chronic diseases.

Acute gastritis often has pathogenic factors before the onset of the disease, and it is not difficult to diagnose. The overall characteristics are sudden and rapid onset without obvious signs. Chronic gastritis is characterized by slow onset, mild initial symptoms, and other complications.

The diagnosis of acute gastritis mainly depends on gastroscopy and mucosal biopsy. Under gastroscopy, chronic superficial gastritis manifests as a red and white or mottled appearance, sometimes with grayish white exudate and erosion; chronic atrophic gastritis manifests as a grayish white mucosa with exposed branch-like small blood vessels. The histopathological changes of chronic superficial gastritis are a large number of mononuclear cell infiltration in the lamina propria of the mucosa, and the morphology and number of glands are normal. In chronic atrophic gastritis, the glands are smaller, the number of glands is reduced, and the mucosa becomes thinner. Common changes include intestinal gland metaplasia (gastric glands become intestinal glands) and pseudopyloric metaplasia (fundic glands become pyloric glands).

【Diagnostic Method】

1. Upper gastrointestinal tract radiography:

Upper gastrointestinal tract radiography is one of the commonly used examination methods. This examination is of certain value in the diagnosis of ulcers and tumors. However, it has limitations because it can only observe changes in the morphology of the stomach but not the lesions of the gastric mucosa.

2. Gastroscopy:

Gastroscopy is the best way to diagnose gastritis. Gastroscopy can observe changes in the gastric mucosa. During the gastroscopy, the gastric mucosal tissue can be clamped for tissue sections and the pathological conditions of the tissue can be observed under a microscope. The diagnosis can be determined by combining the results of gastroscopy and pathological examinations.

3. Helicobacter pylori detection:

Helicobacter pylori is closely related to gastritis. Helicobacter pylori can be detected simultaneously during biopsy pathology, and an additional biopsy piece can be taken during endoscopic examination for rapid urease test to increase the reliability of diagnosis.