Distance for the big size.

 Am received results from my stomach gastroscopy and saw about chronic gastritis, bowel s metaplasia, and with worry to think, that with gastritis am understood, but what is next as bowel metaplasia .  About this pathology shared to vestnik therapeutist too ,with gastroenterologist ,when are patients fearing about a stomach cancer .

 A chronic gastritis is stomach chronic inflammation, but not his wall, just a mucus membrane, which is often cellular updating.As in any damaging for mucus is beginning regeneration, as restoring and structure for membrane is normalizing.But , with raws of inflammatory, and atrophic processes such updating is destroying. It's a importance sign, allowing doing prognosis for the chronic gastritis. A pathology certificating are characterising changes for mucus membranes a stomach as destroying her phases her cellular updating and disordering for the morphologic over building membrane as in kind for bowel s metaplasia and dysplasia.  Its morphology in medicine, is researching for tissues structures of organs under microscope after a special ready for biopsy  , as received in biopsy of mucus membranes.  And for patients in gastroscopy  doing many biopsies, that to confirm diagnosis for chronic gastritis, where  destroying cells regeneration and changing they are on bowel epithelia , as not matching for stomach or his regions. Metaplasia by An old Cretan forming, stable cells substitution of one type on a cells  of an other type in a saving kind tissue belonging.Bowel s  metaplasia described on `100 YEARS AGI AND TILL today learning of a possible toe with stomach cancer, which is having fourth place in structure for oncologic diseases.

 An often meeting bowel metaplasia, in adult her finding in every healthy person, in atrophic gastritis finding in 100 percents cases, stomach ulcers on 81 percents, ulcers of small bowel on 47 percents. Alternative for gastroduodenoscopy is gastropanel, especial screening method for diagnosis, or serum biopsy, which objectivity reflecting structure and function for mucus membranes, and morphologic base by a forming a blood serum. Level for an especial ferment are pepsinogens and in this blood test and pylori  bacteria   infection allowing a right to diagnose atrophic chronic gastritis and risk for cancer a stomach. But a multiple biopsy with histologic confirming of bowel metaplasia is a hope marker for atrophy a mucus membrane. And if in blood test is lowered level for pepsinogen and low relationship for pepsinogen 1 and pepsinogen 2, is a serious stage for atrophic gastritis .Patient doing gastroduodeno-scopy with multiple biopsy, and in cases, when   test on pylori his not defines. Reasons FOR METAPLASIA are pylori infection, not rational meal, as not using meal regime eating, over eating, predisposition, bad ecology, smoking, duodenal -gastral reflux, microflora bowel wrong.

In chronic atrophy gastritis with metaplasia finding in risk group for stomach cancer development.

 Are two types of metaplasia having as a full for first type, she is like a membrane of thin bowel, and not a full is second, like a mucus of thick bowel.

Full bowel metaplasia. An often having in chronic gastritis, that a thin bowel epithelium, forming parts of metaplasia, is a not risk for cancer as a cancer for thin bowel, thus a full metaplasia is a not pre cancer changing of mucus having.

A patient having dynamic observe, in 3-5  years doing gastroduodenoscopy, not on an every year, as a few therapeutist advising. And a advising meal with enveloping effects a rice decoction, kisel, baked fruits, jams of pectins, seeds flax decoction.

 Not a full bowel metaplasia.

Like a mucus of thick bowel, found in 11 perc of patients with all benign diseases , but in oncology of stomach having on 94 perc of cases.A not full bowel metaplasia  showed a most high specifically this sign of changing of stomach mucus to cancer, and a factor of risk having for oncologic disease developing a stomach. And a main size for replacing a normal stomach epithelia a bowel.

A famous tie  for the chromic atrophic gastritis, metaplasia bowel, and pylori , or by a rule -is metaplasia is a sign for pylori gastritis.A fighting this infection insidious will prevent display and progress for pathology.And a back development for atrophy for mucus stomach too possible, and here on an everyday patients are observing with metaplasia.