Inflammation of the gastric mucosa
Can be classified by time course (acute vs. chronic)
Acute: Neutrophilic infiltration on histology
Chronic: Mixture of mononuclear cells, lymphocytes,...
Epigastric discomfort, often aggravated by eating
Burning epigastric pain
Nausea, with or without vomiting
Significant bleeding is unusual except in hemorrhagic gastritis.
H. pylori treatment is required to relieve symptoms.
Parenteral fluid and electrolyte supplements if unable to tolerate oral intake
Discontinue NSAID use if possible.
Confirm H. pylori eradication 4+ weeks after treatment.
Consider repeat endoscopy after 6 weeks if gastritis was severe o...
Eslami L, Nasseri-Moghaddam S. Meta-analyses: does long-term PPI use increase the risk of gastric premalignant lesions? Arch Iran Med. 2013;16(8):449–458.
Lopetuso LR, Napoli M...
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...
H. pylori is the most common cause of gastritis.
>50% of adult patients are colonized with H. pylori by age 60 years.
H. pylori antibodies decline in the year after treatment and shou...
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