Can Atrophic Gastritis with Intestinal Metaplasia Be Cured?

Atrophic gastritis with intestinal metaplasia is generally considered irreversible. From the perspective of symptom or lesion disappearance, it cannot be completely cured, but its progression can often be managed effectively to prevent more serious complications. When intestinal metaplasia is present, regular monitoring through gastroscopy is crucial. This allows for early detection of conditions such as dysplasia, intraepithelial neoplasia, or early-stage cancer. If precancerous changes are identified, endoscopic treatments should be performed promptly to reduce the risk of malignancy.

Patients with atrophic gastritis may experience a variety of symptoms, including belching, bloating, and stomach pain. These symptoms can be managed with targeted medications. While drug therapy can provide temporary relief, symptoms often return after discontinuation, which is common in chronic gastric conditions. It's important to understand that gastric health relies heavily on lifestyle — approximately 30% on medical treatment and 70% on diet and emotional well-being. Maintaining a healthy diet, managing stress, and avoiding irritants are essential in minimizing symptom recurrence. When symptoms do flare up, appropriate medication can help alleviate discomfort and improve quality of life.