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Gastric intestinal metaplasia without dysplasia, unspecified site

ICD10CM code

Name of the Condition

  • Gastric Intestinal Metaplasia without Dysplasia, Unspecified Site
  • Also known as: Chronic Atrophic Gastritis, Intestinal Metaplasia of the Stomach

Summary

Gastric Intestinal Metaplasia without Dysplasia is a condition where the cells lining the stomach undergo a transformation to resemble intestinal cells. This change is considered a precancerous state but does not yet involve the abnormal cellular architecture associated with dysplasia.

Causes

  • Chronic infection by Helicobacter pylori bacteria.
  • Long-term inflammation of the stomach lining.
  • Environmental factors possibly including diet and smoking.

Risk Factors

  • Persistent Helicobacter pylori infection.
  • Genetic predispositions.
  • High intake of salted, smoked, or pickled foods.
  • Smoking and alcohol consumption.

Symptoms

  • Often asymptomatic in early stages.
  • Possible indigestion or stomach discomfort.
  • Nausea or loss of appetite in some individuals.

Diagnosis

  • Endoscopic biopsy to examine the stomach lining.
  • Histological analysis to detect cellular transformation.
  • Tests for Helicobacter pylori infection.

Treatment Options

  • Eradication of Helicobacter pylori with antibiotics if present.
  • Monitoring through regular endoscopy.
  • Lifestyle changes like diet modification to include less salt and more fruits and vegetables.

Prognosis and Follow-Up

  • Condition can be managed with proper monitoring and lifestyle modifications.
  • Regular check-ups are crucial to detect any progression to dysplasia or cancer.

Complications

  • Potential progression to gastric dysplasia and gastric cancer if left untreated.
  • Increased risk of stomach ulcers and further atrophy.

Lifestyle & Prevention

  • Eat a balanced diet rich in fruits and vegetables.
  • Avoid smoking and excessive alcohol consumption.
  • Regular monitoring and management of Helicobacter pylori infection.

When to Seek Professional Help

  • Persistent stomach discomfort or indigestion.
  • Unexpected weight loss or anemia.
  • Symptoms that do not improve with over-the-counter treatments.

Additional Resources

  • American Gastroenterological Association (gastro.org)
  • International Foundation for Gastrointestinal Disorders (iffgd.org)

Tips for Medical Coders

  • Ensure correct identification between non-dysplastic and dysplastic conditions when coding.
  • Avoid confusion with conditions with similar ICD codes by confirming diagnosis details from medical records.

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