患者女，42岁。近2个月来出观餐后饱 胀不适，伴有反酸、恶心，四肢感觉异 常。査体：上腹部轻压痛。实验室检 査:HGB 85g/L，胃泌素水平增髙，胃镜 示黏膜苍白，呈颗粒状，黏膜血管显露， 皱襞细小。最可能的诊断是

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