This is gastroscopy + gastric mucosal biopsy.
The pathology report you gave is a bit simple.
Let me explain to you:
1. "Naked examination: 2 pieces of gray-white non-plastic soft tissue with a diameter of 0.3cm" refers to the macroscopic view (macroscopic view) of the gastric tissue removed by biopsy. Size;
2. "Two small pieces of miliary-sized fundic gland mucosal tissue", which is confirmed under the microscope after sectioning that the biopsy tissue is fundic gland mucosa;
3. "Light" This is the conclusion. Mild chronic gastric inflammation under microscopy without clinical symptoms does not require treatment;
4. "With intestinal metaplasia", let us borrow a professional description: " Intestinal metaplasia of the gastric mucosa, or intestinal metaplasia for short, is a relatively common phenomenon, especially in elderly people. Intestinal metaplasia is often combined with chronic gastritis, especially chronic atrophic gastritis." ;
5. “hp(-)” means that Helicobacter pylori infection has not been found—a good thing!
The reason why the report is not detailed enough is point 4. If "intestinal metaplasia" is qualified, immunohistochemical staining should be performed to distinguish whether it is small intestinal metaplasia or colonic metaplasia. The former is safe, while the latter is closely related to carcinogenesis.
In any case, "mild chronic inflammation with intestinal metaplasia" in the stomach is more common in the elderly. Since it is impossible to collect patient information perfectly when seeking medical treatment online, it is not easy to provide symptomatic treatment. It should not be fully accepted. If you have stomach symptoms, you should ask a gastroenterologist in a large public hospital for regular diagnosis and treatment.
For those with "intestinal metaplasia" and obvious gastric symptoms, it is recommended to review the gastroscopy every six months.
My parents are also about 70 years old. I sincerely wish all kind-hearted old parents in the world good health!