Modern approach to the management and treatment of patients with precancerous conditions and changes in the gastric mucosa

Abstract

The modern views and approaches to the management of patients with precancerous conditions and changes in the gastric mucosa are analyzed. There are no national or international recommendations for the management of this category of patients. Several draft recommendations have been published over the past 10 years, but the most noteworthy are the so-called recommendations for the management of precancerous conditions and stomach lesions (2012 and 2019). Representatives of the European society of gastrointestinal endoscopy, the European group for the study of Helicobacter pylori and the microbiota of the European society of pathologists participated in the development of these recommendations. The recommendations are supported by a number of major studies in accordance with the principles of evidence-based medicine. The problem of oncological diseases of the gastrointestinal tract always remains one of the most significant unsolved problems of world health. Today, the issue of timely diagnosis of precancerous conditions is acute. They include harmless, at first glance, conditions that do not have pronounced symptoms, but bring significant inconvenience to the patients life. This is what allows precancerous conditions to progress, to transform from benign to malignant neoplasms. There is only one way to prevent the process of cancer formation: timely detection and treatment of precancerous diseases. This is one of the most important tasks of a General practitioner. The constant search for ways to solve the problem of cancer determines the choice of successful, timely tactics of patient management and its favorable outcome. The presented data can be used in practice by internists and gastroenterologists.