atrophic gastritis

Question 1

metaplastic chronic atrophic gastritis (MAG) is a

Answer 1

environmental (EMAG) or autoimmune (AMAG)

environmental may due to dietary carcinogens or H pylori infection that causes gastric mucosal changes in the antrum more commonly than the fundus

Question 2

higher risk for metaplastic chronic atrophic gastritis is

Answer 2

gastric ulcers
gastric cancer
carcinoid tumors
increased gastric adenocarcinoma and esophageal squamous cell carcinoma

Question 3

metaplastic chronic atrophic gastritis (MAG) is a

Answer 3

autosomal dominant more common in women and more prone to develop pernicious anemia and associated with Hashimotos thyroiditis and vitiligo

Question 4

metaplastic chronic atrophic gastritis (MAG) is a

Answer 4

is diagnosed by EGD

see serum gastrin levels higher than AMAG than EMAG due to hypochlorydria.

Question 5

serum gastrin level>1000

Answer 5

atrophic gastritis and Zollinger Ellison syndrome

Question 6

Menetrier’s dx

Answer 6

protein losing hypertrophic gastropathy presents as GI symptoms (edema) due to hypoalbuminemia and significant weight loss and endoscopy shows extreme enlargement in the gastric folds in the fundus.

Question 7

labs of metaplastic chronic atrophic gastritis

Answer 7

see gastrin levels >1000 and see gastric pH>6 and management of atrophic gastritis includes treatment of complications and screening of high risk individuals for malignancy.