Probability of bile reflux gastritis, erosion, and carcinogenesis
The probability of malignant transformation in erosive bile reflux gastritis generally depends on whether active treatment is pursued.
1. With Active Treatment
If, after the onset of erosive bile reflux gastritis, appropriate medical treatment is promptly initiated under a doctor's guidance to control the condition, and dietary habits are improved to protect the gastric mucosa, the condition can usually gradually recover, and malignant transformation rarely occurs.
2. Without Active Treatment
If timely intervention is not undertaken and poor dietary habits persist—such as frequent consumption of spicy or irritating foods—repeated stimulation of the gastric mucosa by gastric juices and food may lead to atypical hyperplasia at the affected site. As the disease progresses, this may eventually result in malignant transformation, with the risk of cancer estimated at approximately 1% in such cases.
Patients are advised to seek prompt medical attention when experiencing symptoms and to undergo standardized treatment under professional guidance to promote recovery.