Gastritis

Chapter 24 Gastritis



INTRODUCTION



Description: Gastritis is an inflammatory condition affecting the stomach lining that results in acute or chronic indigestion, bloating, “gas,” and heartburn.

Prevalence: Common.

Predominant Age: Any.

Genetics: No genetic pattern.


ETIOLOGY AND PATHOGENESIS



Causes: Generalized inflammation of the stomach lining, which, in some cases, may be infectious (Helicobacter pylori).

Risk Factors: Cigarette smoking, alcohol abuse, some medications (nonsteroidal anti-inflammatory drugs [NSAIDs]), bile reflux, radiation.


CLINICAL CHARACTERISTICS



Signs and Symptoms



• Nausea, vomiting, dyspepsia, heartburn, and “gas” (symptoms are most common after eating large meals, consuming certain foods)

• Upper abdominal pain or tenderness

• Hiccups


DIAGNOSTIC APPROACH



Differential Diagnosis



• Gastrointestinal reflux

• Ulcer disease (gastric or duodenal)

• Esophageal cancer

• Linitis plastica


Associated Conditions: Bleeding, dysphagia, and gastric or duodenal ulcer.


Workup and Evaluation



Laboratory: No evaluation indicated.

Imaging: No imaging indicated.

Special Tests: Gastroscopy (with or without biopsy) establishes the diagnosis but most often is not necessary.

Diagnostic Procedures:

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Jun 6, 2016 | Posted by in GYNECOLOGY | Comments Off on Gastritis

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