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.)