Gastritis natural history, complications and prognosis: Difference between revisions
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==Complications== | ==Complications== | ||
*'''Acute Gastritis:''' | *'''Acute Gastritis Complications:''' | ||
**Ulcer bleed | **Ulcer bleed | ||
**Bleeding as a result of gastric erosion | **Bleeding as a result of gastric erosion | ||
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**Gastric outlet obstruction | **Gastric outlet obstruction | ||
*'''Chronic Gastritis:''' | *'''Chronic Gastritis Complications:''' | ||
**Atrophic gastritis | **Atrophic gastritis | ||
**Peptic ulcers | **Peptic ulcers | ||
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**Increased risk of developing benign or malignant growths in the lining of the stomach. | **Increased risk of developing benign or malignant growths in the lining of the stomach. | ||
*'''Atrophic Gastritis:''' | *'''Atrophic Gastritis Complications:''' | ||
**Atrophic Gastritis as a result of ''Helicobacter pylori infection'': | **Atrophic Gastritis as a result of ''Helicobacter pylori infection'': | ||
***Gastric ulceration | ***Gastric ulceration | ||
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***Pernicious anemia | ***Pernicious anemia | ||
*'''Stress Induced Gastritis:''' | *'''Stress Induced Gastritis Complications:''' | ||
**Rarely, Stress-Induced Gastritis may lead to severe bleeding that can prove fatal and leads to a life-threatening situation. | **Rarely, Stress-Induced Gastritis may lead to severe bleeding that can prove fatal and leads to a life-threatening situation. | ||
*'''Helicobacter pylori-associated Gastritis:''' | *'''Helicobacter pylori-associated Gastritis Complications:''' | ||
**Chronic Helicobacter pylori-associated Gastritis increases the risk for mucosa-associated lymphoid tissue (MALT) lymphoma. | **Chronic Helicobacter pylori-associated Gastritis increases the risk for mucosa-associated lymphoid tissue (MALT) lymphoma. | ||
**[[Gastric ulcer|Gastric]] and [[duodenal ulcer|duodenal ulcers]] | **[[Gastric ulcer|Gastric]] and [[duodenal ulcer|duodenal ulcers]] | ||
Revision as of 16:20, 17 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Gastritis can be rapidly treated but may recur. Although majority of gastritis cases remain asymptomatic or without complications, the common complications, when it occurs, include peptic ulcers and gastric neoplasms (including malignant).
Natural History
Most gastritis improves rapidly with treatment.
Complications
- Acute Gastritis Complications:
- Ulcer bleed
- Bleeding as a result of gastric erosion
- Anemia as a result of the bleeding from the ulcer or due to the gastric erosion
- Gastric outlet obstruction
- Chronic Gastritis Complications:
- Atrophic gastritis
- Peptic ulcers
- Gastrointestinal Perforation
- Gastrointestinal Bleeding
- Anemia due to erosive gastritis
- Stomach Cancer
- Vitamin B12 deficiency
- Pernicious anemia
- Increased risk of developing benign or malignant growths in the lining of the stomach.
- Atrophic Gastritis Complications:
- Atrophic Gastritis as a result of Helicobacter pylori infection:
- Gastric ulceration
- Gastric cancer (adenocarcinoma)
- Atrophic Gastritis as a result of atrophic gastritis due to Autoimmune gastritis:
- Gastric polyp
- Gastric cancer (adenocarcinoma)
- Pernicious anemia
- Atrophic Gastritis as a result of Helicobacter pylori infection:
- Stress Induced Gastritis Complications:
- Rarely, Stress-Induced Gastritis may lead to severe bleeding that can prove fatal and leads to a life-threatening situation.
- Helicobacter pylori-associated Gastritis Complications:
- Chronic Helicobacter pylori-associated Gastritis increases the risk for mucosa-associated lymphoid tissue (MALT) lymphoma.
- Gastric and duodenal ulcers
- Gastric adenocarcinoma
- Pseudomembranous colitis following H. pylori treatment
- B12 and iron deficiency anemia
- Post Treatment complication of of Helicobacter pylori infection is Clostridium difficile infection
Prognosis
Prognosis for gastritis is