Guidelines for diagnosis and treatment of chronic gastritis inChina(2022,Shanghai)

Abstract

Chronic gastritis is a commonly seen disease; clinicians have always attached to the importance of understanding its etiology and clinical manifestations, standardizing its diagnosis and treatment, and preventing its progression to cancers. Based on the consensus opinions on the diagnosis and treatment of chronic gastritis in the past three editions, and referring to the international consensuses and guidelines on the management of precancerous lesions of gastric mucosa, it is of clinical value and feasibility to formulate the guidelines for the diagnosis and treatment of chronic gastritis in line with China's national conditions. This guideline was initiated by the Chinese Society of Gastroenterology, with major members of the Cancer Collaboration Group of Chinese Society of Gastroenterology serving as the convenors and authors. Based on the internationally accepted principles and methods of guideline development and the extensive collection of opinions from gastroenterologists and physicians, 53 evidence-based recommendations are given for nine major clinical problems related to chronic gastritis, aiming to improve the diagnosis, treatment, and management of chronic gastritis.

The Efficacy of Chaihu-Guizhi-Ganjiang Decoction on Chronic Non-Atrophic Gastritis with Gallbladder Heat and Spleen Cold Syndrome and Its Metabolomic Analysis: An Observational Controlled Before-After Clinical Trial

“…The subjects were required to meet the diagnosis of CNAG, which was based on the consensus on chronic gastritis in China by the Chinese Society of Gastroenterology in 2022. 14 The representative TCM “gallbladder-heat syndrome and spleen-cold syndrome” was determined according to the consensus on diagnosis and treatment of CNAG by integrated traditional Chinese and Western medicines. 15…”

Regulation of intestinal flora in patients with chronic atrophic gastritis by modified Chai Shao Liu Jun Zi decoction based on 16S rRNA sequencing

“…Inclusion criteria were as follows: Age 18 to 75 years old; compliance with the Western medical diagnostic criteria and Chinese medical evidence criteria of this disease; Western medical diagnostic criteria: refer to the 2017 Chinese Consensus Opinion on Chronic Gastritis and the 2017 Consensus Opinion on Integrative Diagnosis and Treatment of CAG in Chinese and Western Medicine for the CAG endoscopy and pathology-related diagnosis; Chinese medicine diagnostic criteria Refer to the diagnostic criteria for liver depression and spleen deficiency syndrome in the Guiding Principles for Clinical Research of New Chinese Medicines (Trial Implementation) (2002, China Medical Science and Technology Press). [ 10 ] Primary symptoms: fullness or distension of the stomach and epigastrium or ribs; irritability or depression.…”

Helicobacter pylori infection altered gastric microbiota in patients with chronic gastritis

“…From April 2018 to January 2020, among the endoscopic screening population of upper gastrointestinal cancer in Yangzhong City, 193 individuals diagnosed as chronic gastritis and RUT-positive were brought into this study. According to the consensus opinion on chronic gastritis in China formulated by the Digestive Diseases Branch of the Chinese Medical Association (Shanghai, 2017) ( Fang, 2023 ), “Atrophy and/or intestinal metaplasia” in pathological diagnosis was defined as CAG, and others were defined as nCAG. There were 124 CAG patients and 69 nCAG patients in the 193 individuals, and the clinical data were collected using a unified questionnaire.…”