Gastritis

Question 1

What is gastritis?

Answer 1

Histologic evidence of inflammation of epithelial or endothelial of the stomach

Question 2

What is gastropathy?

Answer 2

Epithelial or endothelial damage w/o histologic evidence of inflammation

Question 3

What are the 3 categories of gastritis?

Answer 3

Erosive and hemorrhagic gastritis
Non erosive and non specific gastritis
Specific types of gastritis

Question 4

What are can cause gastritis?

Answer 4

Drugs, alcohol, stress from medical or surgical illness, portal HTN

Less commonly ingestion and radiation

Question 5

Gastritis is normally, asymptomatic, however what sx can occur?

Answer 5

Epigastric pain, N/V, upper GI bleeding w/ “coffee grounds” emesis

Question 6

What lab findings are expected with gastritis?

Answer 6

HCT low if significant bleeding
Iron deficiency
H. pylori testing

Question 7

What is the imaging study is most sensitive method of dx for gastritis?

Answer 7

Endoscopy within 24hrs of upper GI bleed

Question 8

How would you treat NSAIDS gastritis?

Answer 8

D/C NSAIDS
PPI 2-4 weeks (omeprazole 20-40mg)

Question 9

How would you treat alcoholic gastritis?

Answer 9

D/C alcohol use
H2 antagonists, PPI for 2-4weeks

Question 10

What are non erosive, non specific (histologic) types of gastritis?

Answer 10

H pylori
Pernicious anemia
Eosinophilic gastritis

Question 11

How would you dx H pylori?

Answer 11

Endoscopy
Serology
**Serology not helpful with previous positive anti-body testing