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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.