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| {{CMG}} | | __NOTOC__ |
| | | {{Infobox_Disease | |
| {{Editor Help}} | | Name = Gastritis | |
| | Image = | |
| | Caption = | |
| | DiseasesDB = 34500| |
| | ICD10 = {{ICD10|K|29|0|k|20}}-K29.7 | |
| | ICD9 = {{ICD9|535.0}}-535.5 | |
| | ICDO = | |
| | OMIM = | |
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| | {{Gastritis}} |
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| ==Overview==
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| {{DiseaseDisorder infobox |
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| Name = Gastritis |
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| ICD10 = {{ICD10|K|29|0|k|20}}-K29.7 |
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| ICD9 = {{ICD9|535.0}}-535.5 |
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| }}
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| {{SI}}
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| '''For patient information click [[{{PAGENAME}} (patient information)|here]]''' | | '''For patient information click [[{{PAGENAME}} (patient information)|here]]''' |
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| ==Overview==
| | {{CMG}}; {{AE}} {{ARK}} |
| '''Gastritis''' is [[inflammation]] of the [[gastric mucosa]]. The word comes from the [[Greek language|Greek]] ''gastro-'' meaning of the stomach and ''-itis'' meaning inflammation. Depending on the cause, it may persist acutely or chronically and may coincide with more serious conditions such as [[atrophy]] of the stomach.
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| ==Common Causes of Gastritis==
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| The following are known causes and factors related to gastritis:
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| [[Image:DigestiveSystem.gif|frame|left|Digestive System]]
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| * [[Bacterial]] [[infection]] (most often by ''[[Helicobacter pylori]]'' and other ''[[Helicobacter]]'' spp.)
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| * [[Fungal]] infection (most often in people with [[immunodeficiency]])
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| * [[Parasitic]] infection (most often by ''[[Anisakis]]'' spp. from poorly cooked seafood)
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| * [[Virus|Viral]] infection
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| * [[Bile]] reflux
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| * [[NSAIDs]]
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| * [[Cigarette]] smoke
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| * [[Autoimmune]] disorders
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| * Excessive [[alcohol]] consumption
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| * Excessive [[caffeine]] consumption
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| * Certain [[allergen]]s
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| * Certain types of [[radiation]]
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| * Stomach injury
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| * [[stress (medicine)|Stress]]
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| | ==[[Gastritis overview|Overview]]== |
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| | ==[[Gastritis historical perspective|Historical Perspective]]== |
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| | ==[[Gastritis classification|Classification]]== |
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| == Differential Diagnosis == | | ==[[Gastritis pathophysiology|Pathophysiology]]== |
| * [[Alcoholic]] gastropathy
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| * [[Aortic aneurysm]] (ruptured)
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| * [[Bacterial infection]]s
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| * [[Burns]]
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| * [[Candida]]
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| * Corrosive gastritis
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| * [[Crohn's Disease]]
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| * [[Cytomegalovirus]] (CMV) in [[HIV]]
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| * Diseases of the biliary system
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| * [[Drugs]]
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| * [[Eosinophilic Gastritis]]
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| * [[Esophageal varices]]
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| * Functional dyspepsia
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| * [[Gastric carcinoma]]
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| * Gastritis in [[pernicious anemia]]
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| * [[Gastroduodenal ulcer]]
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| * [[Helicobacter pylori]] associated
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| * Intoxication
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| * [[Liver failure]]
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| * Lymphocytic gastritis
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| * [[Mallory-Weiss Tear]]
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| * [[Menetrier's Disease]]
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| * [[Pancreas carcinoma]]
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| * [[Pancreatitis]]
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| * [[Peptic ulcer]]
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| * [[Perforated ulcer]]
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| * [[Radiation]]
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| * Reflux esophagitis
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| * [[Renal Failure]]
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| * Respiratory failure
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| * [[Sarcoidosis]]
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| * [[Sepsis]]
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| * [[Shock]]
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| * [[Surgery]]
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| * [[Syphilis]]
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| * [[Trauma]]
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| * [[Tuberculosis]]
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| * [[Volvulus]]
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| * [[Zollinger-Ellison Syndrome]]
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| == Symptoms == | | ==[[Gastritis causes|Causes]]== |
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| The following symptoms can be a result of gastritis or can be related to the underlying cause:
| | ==[[Gastritis differential diagnosis|Differentiating Gastritis from other Diseases]]== |
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| * Upper [[abdominal pain]] or discomfort
| | ==[[Gastritis epidemiology and demographics|Epidemiology and Demographics]]== |
| * Gastric [[hemorrhage]]
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| * [[Hypochlorhydria]]
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| * [[Appetite]] loss
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| * [[Belching]]
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| * [[Nausea]]
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| * [[Vomiting]]
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| * [[Fever]]
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| * [[Lethargy]]
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| == Diagnosis == | | ==[[Gastritis risk factors|Risk Factors]]== |
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| In suspected cases, a doctor usually orders a [[barium meal]] test and [[gastroscopy]] to determine gastritis and related conditions such as [[peptic ulcer]]s and gastric [[cancer]]. It is always important that the doctor reviews a patient's history regarding medications, alcohol intake, smoking, and other factors that can be associated with gastritis. In some cases, the appearance of the stomach lining seen during gastroscopy and the results of the barium meal test are reliable in determining gastritis and the cause. However, the most reliable method for determining gastritis is doing a [[biopsy]] during gastroscopy and checking for [[histology|histological]] characteristics of gastritis and infection. For ''Helicobacter'' infection (the most common cause), one can test non-invasively with a [[urea breath test]], [[stool]] [[antigen]] [[stool test|test]], or [[blood]] [[antibody]] test.
| | ==[[Gastritis screening|Screening]]== |
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| | ==[[Gastritis natural history, complications and prognosis|Natural History, Complications and Prognosis]]== |
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| | ==Diagnosis== |
| | [[Gastritis history and symptoms| History and Symptoms]] | [[Gastritis physical examination | Physical Examination]] | [[Gastritis laboratory findings|Laboratory Findings]] | [[Gastritis x ray|X Ray]] | [[Gastritis CT|CT]] | [[Gastritis endoscopy|Endoscopy]] | [[Gastritis other imaging findings|Other Imaging Findings]] | [[Gastritis other diagnostic studies|Other Diagnostic Studies]] |
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| ==Treatment== | | ==Treatment== |
| | [[Gastritis medical therapy|Medical Therapy]] | [[Gastritis surgery|Surgery]] | [[Gastritis primary prevention|Primary Prevention]] | [[Gastritis secondary prevention|Secondary Prevention]] | [[Gastritis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Gastritis future or investigational therapies|Future or Investigational Therapies]] |
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| | ==Case Studies== |
| | [[Gastritis case study one|Case#1]] |
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| Treatment usually consists of removing the irritant or the infection. In cases of infection, a doctor will most often prescribe [[antimicrobial]] drugs. ''Helicobacter'' infection typically responds well to the ''triple therapy'' protocol (consisting of two [[antibiotic]]s, and a [[proton pump inhibitor]]). Regimens that work well include PCA or PCM triple therapy ([[PPI]], Clarithromycin, Amoxicillin) or (PPI, Clarithromycin, Metronidazole). Quadruple therapy hasa >90% success rate and includes PPIs, Bismuth subsalicylates, Metronidazole, and Tetracycline.
| | ==Related Chapters== |
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| == See also == | |
| * [[Stomach]] | | * [[Stomach]] |
| * [[Gastroenteritis]] | | * [[Gastroenteritis]] |
| * [[Infection]] | | * [[Infection]] |
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| == External links ==
| | {{Gastroenterology}} |
| * http://www.merck.com/mmhe/sec09/ch121/ch121b.html
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| * http://www.emedicine.com/emerg/topic820.htm
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| * http://www.emedicine.com/med/topic852.htm
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| * http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10796.html
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| * [http://www.abcsalutaris.com/english/index.php?option=com_content&task=view&id=36&Itemid=3 ABC Salutaris: Gastritis]
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| {{SIB}}
| | [[Category:Medicine]] |
| {{Gastroenterology}}
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| [[Category:Inflammations]] | |
| [[Category:Conditions diagnosed by stool test]]
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| [[Category:Gastroenterology]] | | [[Category:Gastroenterology]] |
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| [[zh-min-nan:Ūi-iām]] | |
| [[bs:Gastritis]]
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| [[bg:Гастрит]]
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| [[ca:Gastritis]]
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| [[de:Gastritis]]
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| [[et:Gastriit]]
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| [[es:Gastritis]]
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| [[ko:위염]]
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| [[it:Gastrite]]
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| [[lt:Gastritas]]
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| [[mk:Гастритис]]
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| [[nl:Gastritis]]
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| [[nn:Gastritt]]
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| [[pt:Gastrite]]
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| [[ru:Гастрит]]
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| [[fi:Mahakatarri]]
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| [[sv:Kronisk gastrit]]
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| [[zh:胃炎]]
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