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Gastritis

Samrawit Tekle, MD and Naureen Rafiq, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Inflammation of the gastric mucosa

  • Patchy erythema of gastric mucosa

    • Common on endoscopy; usually insignificant

  • Erosive gastritis or reactive gastropathy

    • A reaction to mucosal injury...

DIAGNOSIS

HISTORY

  • Epigastric discomfort, often aggravated by eating

  • Burning epigastric pain

  • Anorexia

  • Nausea, with or without vomiting

  • Significant bleeding is unusual except in hemorrhagic gastritis.

  • Rectal ...

TREATMENT

GENERAL MEASURES

  • H. pylori treatment is required to relieve symptoms.

  • Parenteral fluid and electrolyte supplements if unable to tolerate oral intake

  • Discontinue NSAID use if possible.

  • Abstinence...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Usually no restrictions 
  • Confirm H. pylori eradication 4+ weeks after treatment.

Patient Monitoring

  • Consider repeat gastroscopy after 6 weeks if gastritis was severe...

REFERENCES

1
1 McColl KE. Clinical practice. Helicobacter pylori infection. N Engl J Med.  2010;362(17):1597–1604. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Malfertheiner P, Megraud F, O...

ADDITIONAL READING

  • El-Zimaity H, Serra S, Szentgyorgyi E, et al. Gastric biopsies: the gap between evidence-based medicine and daily practice in the management of gastric Helicobacter pylori infection...

CODES

ICD10

  • K29.70 Gastritis, unspecified, without bleeding

  • K29.71 Gastritis, unspecified, with bleeding

  • K29.00 Acute gastritis without bleeding

  • K29.01 Acute gastritis with bleeding

  • K29.31 Chronic superfic...

CLINICAL PEARLS

  • H. pylori is the most common cause of gastritis.

  • >50% of adult patients are colonized with H. pylori.

  • H. pylori antibodies decline in the year after treatment and should not be used t...

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