CLINICAL COURSE AND THERAPEUTIC STRATEGIES OF CHRONIC GASTRITIS

Abstract

 Chronic gastritis is a persistent inflammatory disease of the gastric mucosa that develops gradually and can progress silently over time. Its clinical course is often nonspecific, marked by symptoms such as epigastric discomfort, early satiety, nausea, and bloating, which are frequently overlooked. The condition is most commonly associated with Helicobacter pylori infection, autoimmune reactions, or prolonged NSAID use. If left untreated, chronic gastritis can lead to atrophic changes, anemia, and even gastric carcinoma. Accurate diagnosis through endoscopy and histology, along with etiologically guided therapy, is essential for effective management. Treatment typically includes eradication of H. pylori, acid suppression, nutritional support, and lifestyle modification. This article highlights the importance of early recognition, individualized treatment strategies, and long-term surveillance in preventing complications and improving patient outcomes.