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Gastritis done (Rx (Meds (Triple therapy (Antibiotic X2 (Amoxicillin…
Gastritis done
Rx
Meds
Triple therapy
PPI
pantoprazole (pantoloc
Antibiotic X2
Amoxicillin (Penicillin)
Clarithromycin (Macrolide)
Antacids
MgOH (Triact, Mucaine)
H2 receptor antagonist
famotidine (pepcidine)
Monitor for GI bleeding
Reduce anxiety
promote optimal nutirtion
promote fluid balance
relieve pain
surgery
Pyloroplasty
for pyloric obstruction
Vagotomy
sub/total gastrectomy
REFER TO BOWEL SRUGERIES
monitor for gi bleeding
s/s
mostly asymptomatic
similar to peptic ulcer
H. pylori
dyspepsia
Hypochlorhydria
secondary inflammatory response in mucosa
↓ cytoprotection
chronic active gastritis
presence of Urease
that secrete ammonium compound to neutralize the acid
types
Acute gastritis
often iatrogenic
NSAID, alcohol, in critically-ill patient
Chronic Gastritis
atrophy
↑ risk of gastric carcinoma
Opportunistic Gastritis
infection
Cause
Type A : Autoimmune
Type B : Infection more common
Helicobacter pylori
90% associate with distal gastric cancer
duodenal ulcer
CMV Cytomegalovirus
Candidiasis
hookworm