Gastritis: Difference between revisions

Jump to navigation Jump to search
← Older editNewer edit →
VisualWikitext
Kalsang Dolma (talk | contribs)
nocaptcha
22,673 edits
No edit summary
Kalsang Dolma (talk | contribs)
nocaptcha
22,673 edits
No edit summary
Line 18: Line 18:
{{CMG}}
{{CMG}}


==Overview==
==[[Gastritis overview|Overview]]==
'''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.


==Common Causes of Gastritis==
==[[Gastritis historical perspective|Historical Perspective]]==
The following are known causes and factors related to gastritis:


[[Image:DigestiveSystem.gif|frame|left|Digestive System]]
==[[Gastritis classification|Classification]]==


* [[Bacterial]] [[infection]] (most often by ''[[Helicobacter pylori]]'' and other ''[[Helicobacter]]'' spp.)
==[[Gastritis pathophysiology|Pathophysiology]]==
* [[Fungal]] infection (most often in people with [[immunodeficiency]])
* [[Parasitic]] infection (most often by ''[[Anisakis]]'' spp. from poorly cooked seafood)
* [[Virus|Viral]] infection
* [[Bile]] reflux
* [[NSAIDs]]
* [[Cigarette]] smoke
* [[Autoimmune]] disorders
* Excessive [[alcohol]] consumption
* Excessive [[caffeine]] consumption
* Certain [[allergen]]s
* Certain types of [[radiation]]
* Stomach injury
* [[stress (medicine)|Stress]]


== Differential Diagnosis ==
==[[Gastritis causes|Causes]]==
* [[Alcoholic]] gastropathy
* [[Aortic aneurysm]] (ruptured)
* [[Bacterial infection]]s
* [[Burns]]
* [[Candida]]
* Corrosive gastritis
* [[Crohn's Disease]]
* [[Cytomegalovirus]] (CMV) in [[HIV]]
* Diseases of the biliary system
* [[Drugs]]
* [[Eosinophilic Gastritis]]
* [[Esophageal varices]]
* Functional dyspepsia
* [[Gastric carcinoma]]
* Gastritis in [[pernicious anemia]]
* [[Gastroduodenal ulcer]]
* [[Helicobacter pylori]] associated
* Intoxication
* [[Liver failure]]
* Lymphocytic gastritis
* [[Mallory-Weiss Tear]]
* [[Menetrier's Disease]]
* [[Pancreas carcinoma]]
* [[Pancreatitis]]
* [[Peptic ulcer]]
* [[Perforated ulcer]]
* [[Radiation]]
* Reflux esophagitis
* [[Renal Failure]]
* Respiratory failure
* [[Sarcoidosis]]
* [[Sepsis]]
* [[Shock]]
* [[Surgery]]
* [[Syphilis]]
* [[Trauma]]
* [[Tuberculosis]]
* [[Volvulus]]
* [[Zollinger-Ellison Syndrome]]


== Symptoms ==
==[[Gastritis differential diagnosis|Differentiating Gastritis from other Diseases]]==
The following symptoms can be a result of gastritis or can be related to the underlying cause:


* Upper [[abdominal pain]] or discomfort
==[[Gastritis epidemiology and demographics|Epidemiology and Demographics]]==
* Gastric [[hemorrhage]]
* [[Hypochlorhydria]]
* [[Appetite]] loss
* [[Belching]]
* [[Nausea]]
* [[Vomiting]]
* [[Fever]]
* [[Lethargy]]


== Diagnosis ==
==[[Gastritis risk factors|Risk Factors]]==
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 natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
==Diagnosis==
[[Gastritis history and symptoms| History and Symptoms]] | [[Gastritis physical examination | Physical Examination]] | [[Gastritis laboratory findings|Laboratory Findings]] | [[Gastritis CT|CT]] | [[Gastritis other imaging findings|Other Imaging Findings]] | [[Gastritis other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
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.
[[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]]
 
==Case Studies==
[[Gastritis case study one|Case#1]]


== See also ==
==Related Chapters==
* [[Stomach]]
* [[Stomach]]
* [[Gastroenteritis]]  
* [[Gastroenteritis]]  

Revision as of 14:37, 5 September 2012

Gastritis
ICD-10 K29.0-K29.7
ICD-9 535.0-535.5
DiseasesDB 34500

Gastritis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Gastritis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Diagnostic tests

Endoscopic tests
Nonendoscopic tests

X Ray

CT

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Gastritis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Gastritis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Gastritis

CDC on Gastritis

Gastritis in the news

Blogs on Gastritis

Directions to Hospitals Treating Gastritis

Risk calculators and risk factors for Gastritis

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Gastritis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | CT | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case#1

Related Chapters

Template:Gastroenterology

zh-min-nan:Ūi-iām bs:Gastritis bg:Гастрит ca:Gastritis de:Gastritis et:Gastriit ko:위염 it:Gastrite lt:Gastritas mk:Гастритис nl:Gastritis nn:Gastritt fi:Mahakatarri sv:Kronisk gastrit

Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Gastritis&oldid=721683"