Gastritis

Question 1

What are the risk factors for gastritis?

Answer 1

Critical illness
Prior gastric surgery
Autoimmune disease
NSAIDs
Alcohol use
H.pylori infection

Question 2

What is the most common cause of non-erosive gastritis?

Answer 2

H.pylori infection

Question 3

What is the most common cause of erosive gastritis?

Answer 3

NSAIDs or alcohol

Question 4

What are the symptoms of gastritis?

Answer 4

Dyspepsia
Abdominal discomfort
Nausea and vomiting
Anorexia
May be asymptomatic

Question 5

What investigations should be conducted for gastritis?

Answer 5

H.pylori testing - urea breath test
Faecal antigen testing
FBC
Endoscopy in some patients
Vit V12, intrinsic factor and parietal cell antibodies if suspecting autoimmune gastritis

Question 6

How is h.pylori gastritis treated?

Answer 6

Eradication of h.pylori with triple therapy:

PPI
Clarithromycin
Amoxicillin / metronidazole

Question 7

How is erosive gastritis treated?

Answer 7

PPIs or H2RB

Removal of causative agent (NSAID, alcohol)

Question 8

How is autoimmune gastritis treated?

Answer 8

Cyanocobalamin

Question 9

What is pglemonous gastritis and how is it treated?

Answer 9

Uncommon form of gastritis caused by infection (s.aureus, step, e.coli, enterobacter).
It requires ICU admission, supportive care and broad-spectrum antibiotics

Question 10

What are the potential complications of gastritis?

Answer 10

Achlorhydria
Vitamin B12 deficiency
Peptic ulcer disease
Gastric carcinoma
Gastric lymphoma