Gastritis

Question 1

Inflammation of gastric mucosa

Answer 1

Gastritis acute or chronic; diffuse or localized

Question 2

Etiology of gastritis

Answer 2

Breakdown in gastric mucosal barrier allowing HCl acid and pepsin to diffuse back into mucosa results in tissue edema

Question 3

Gastritis cause

Answer 3

Drug related (NSAIDs, corticosteroids)
Diet: alcohol use, spicy foods
Helicobactor pylori
Environmental
Diseases/disorders (autoimmune gastritis, crohn's, hiatal hernia)

Question 4

Acute manifestations

Answer 4

i. Anorexia
ii. Nausea and vomiting
iii. Epigastric tenderness
iv. Hemorrhage
v. Self-limiting

Question 5

Chronic manifestations

Answer 5

i. Similar to acute (lasts longer)
ii. Asymptomatic
iii. Pernicious anemia
1. Pt will need B12 injections

Question 6

Gastritis: Diagnostic studies

Answer 6

a. Based on symptoms
b. History of drug or alcohol use
c. Endoscopy with biopsy
d. H. pylori testing
e. CBC (check for anemia)
f. Stool for occult blood

Question 7

Treatment of acute gastritis:

Answer 7

identify cause
supportive care (rest, NPO, IV fluids)

Question 8

treatment of severe gastritis

Answer 8

NGT to monitor for bleeding
Lavage
Empty stomach

Question 9

Risk for hemorrhage

Answer 9

Monitor VS, heme test vomitus; upper GI bleed strategies

Question 10

Chronic gastritis

Answer 10

i. Evaluate and eliminate cause
ii. Antibiotics for H. pylori
iii. Cobalamin for pernicious anemia
iv. Lifestyle modifications
1. No smoking
2. 6 small meals/day; nonirritating food