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What is erosion of the gastric antrum and gastric angle?

Sep 09, 2023 Source: Cainiu Health
Dr. Wang Xuemei
Introduction
Gastric antrum and angularis erosion refers to erosion of the gastric mucosa in the antrum and angularis regions, with main symptoms including upper abdominal pain, indigestion, melena, etc. In most cases, gastric antrum and angularis erosion may be associated with factors such as use of non-steroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, smoking, stress, trauma, and Helicobacter pylori infection. It can be treated by adjusting medication dosage or through pharmacological therapy.

Gastric antrum and angularis erosion refers to erosion occurring in the gastric mucosa at the gastric antrum and angularis. Common symptoms include upper abdominal pain, indigestion, melena, and others. In general, gastric antrum and angularis erosion may be associated with factors such as use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, smoking, stress and trauma, and Helicobacter pylori infection. The condition can be managed by adjusting medication dosage or through pharmacological treatment. Specific causes are analyzed as follows:

1. Use of nonsteroidal anti-inflammatory drugs (NSAIDs): Long-term or high-dose use of NSAIDs, such as aspirin and ibuprofen, may damage the gastric mucosa and promote the development of erosion. This is because NSAIDs can increase gastric acid secretion while reducing protective mucus secretion in the stomach, making the gastric mucosa more susceptible to injury. It is recommended to consult a physician to determine whether medication dosage needs adjustment or if alternative drugs should be used.

2. Excessive alcohol consumption: Chronic alcohol abuse has harmful effects on the gastric mucosa and increases the risk of erosion. Alcohol stimulates increased gastric acid secretion and reduces the stomach's mucus barrier, making it easier for inflammation and ulcers to develop in the gastric mucosa. Patients should avoid alcohol consumption to prevent worsening of symptoms.

3. Smoking: Smoking is considered one of the risk factors associated with erosion in the gastric antrum and angularis. Nicotine and other chemicals in tobacco may damage the gastric mucosa and impair blood flow within the stomach, contributing to ulcer formation. Patients should quit smoking and avoid exposure to secondhand smoke.

4. Stress and trauma: Physical and emotional stress, severe injuries, and surgical procedures may also lead to erosion in the gastric antrum and angularis. During periods of stress, the body may secrete excessive amounts of gastric acid, which can damage the gastric mucosa.

5. Helicobacter pylori infection: Helicobacter pylori is a common pathogen responsible for gastric infections and can cause erosion in the gastric antrum and angularis. This bacterium infects the gastric mucosa, triggering inflammation and ulcer formation. It is recommended to follow medical advice and use medications such as amoxicillin capsules or amoxicillin tablets to manage the condition.

If discomfort occurs, patients should seek timely medical attention to avoid delays in treatment.


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