GASTRITIS

EPIDEMIOLOGY

PATHOPHYSIOLOGY

CLINICAL PRESENTATION

DIAGNOSIS

TREATMENT

mucosal atropy,epithelial metaplasia

chronic found in older adults

caused by drugs, chemicals, H Pylori

injury of protective mucosal barrier

<1% in the US

result of aspirin, NSAIDs, bile salts, alcohol

death of parietal cells

inflammation of gastric mucosa

superficial gastric mucosal injury

intramucosal energy suggested factor

excessive acid, diminished mucosal defense

reduced intramucosal pH

reduction of prostaglandins

acid and pepsin

attenuating the barrier created by epithelial cells

(Huether & McCance, 2017)

epigastric pain

GI bleeding

vomiting

nausea

fullness

anorexia

abd pain

anemia with B12 injections

Diet modification

carafate, H@ blockers, and PPIs

antacids

avoiding the cause

treat H pylori

treat underlying cause

urea breath test

stool test

monitor for anemia, H pylori,

upper GI endoscopy

physical exam

medical history

(National Institute of Diabetes and Digestive and Kidney Diseases, n.d.)