eMedicine Specialties > Gastroenterology > Stomach

Gastritis, Acute: Follow-up

Author: Mohammad Wehbi, MD, Assistant Professor of Medicine, Associate Program Director, Department of Gastroenterology, Atlanta Veterans Affairs Medical Center, Emory University School of Medicine
Coauthor(s): Nicole M Griglione, MD, Staff Physician, Department of Medicine, Emory University School of Medicine; Richard H Snyder, MD, Vice-Chair, Program Director, Department of Medicine, Norfolk General Hospital; Clinical Associate Professor, Department of Internal Medicine, East Virginia Medical School; Gwendolyn Sarver, BS, Pennsylvania State University College of Medicine; Kamil Obideen, MD, Assistant Professor of Medicine, Division of Digestive Diseases, Emory University School of Medicine; Consulting Staff, Division of Gastrointestinal Endoscopy, Atlanta Veterans Affairs Medical Center; Vincent W Yang, MD, PhD, R Bruce Logue Professor, Director, Division of Digestive Diseases, Department of Medicine, Professor of Hematology and Oncology, Winship Cancer Institute, Emory University School of Medicine
Contributor Information and Disclosures

Updated: Jul 30, 2008

Follow-up

Transfer

  • No specifications

Complications

  • Bleeding from an erosion or ulcer
  • Gastric outlet obstruction due to edema limiting the adequate transfer of food from the stomach to the small intestine
  • Dehydration from vomiting
  • Renal insufficiency as a result of dehydration

Prognosis

  • Gastritis generally clears spontaneously.
  • With treatment, the mortality rate of phlegmonous gastritis is 64%.

Patient Education

  • Explain the disease to the patient.
  • Encourage cessation of smoking and alcohol consumption.
  • Warn patients of the potential effects of noxious drugs and chemical agents.
  • For excellent patient education resources, visit eMedicine's Esophagus, Stomach, and Intestine Center. Also, see eMedicine's patient education article Gastritis.

Miscellaneous

Medicolegal Pitfalls

  • Early diagnosis is not made often.
 


More on Gastritis, Acute

Overview: Gastritis, Acute
Differential Diagnoses & Workup: Gastritis, Acute
Treatment & Medication: Gastritis, Acute
Follow-up: Gastritis, Acute
Multimedia: Gastritis, Acute
References

References

  1. Andersen LP. Colonization and infection by Helicobacter pylori in humans. Helicobacter. Nov 2007;12 Suppl 2:12-5. [Medline].

  2. Beers M, Berkow R, eds. Gastritis. In: The Merck Manual of Diagnosis and Therapy. 18th ed. 2006:Section 3, Chapter 23. [Full Text].

  3. Feldman. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 7th ed. 2002:810-823.

  4. Ford A, Delaney B, Forman D. Eradication therapy for peptic ulcer disease in Helicobacter pylori positive patients. Cochrane Database Syst Rev. 2004;CD003840.

  5. Gelfand DW, Ott DJ, Chen MY. Radiologic evaluation of gastritis and duodenitis. AJR Am J Roentgenol. Aug 1999;173(2):357-61. [Medline].

  6. Gisbert JP, Pajares JM. Diagnosis of Helicobacter pylori infection by stool antigen determination: a systematic review. Am J Gastroenterol. Oct 2001;96(10):2829-38. [Medline].

  7. Haruma K. Helicobacter heilmannii: a spiral shaped organism other than Helicobacter pylori. Intern Med. Mar 1999;38(3):217-8. [Medline].

  8. Iwakiri Y, Kabemura T, Yasuda D, et al. A case of acute phlegmonous gastritis successfully treated with antibiotics. J Clin Gastroenterol. Mar 1999;28(2):175-7. [Medline].

  9. Kasper DL, Braunwald E, Fauci A, et al. Gastritis. In: Harrison's Principles of Internal Medicine: Companion Handbook. 16th ed. McGraw-Hill: 2006:Part 12, Chapter 274.

  10. Richieri JP, Pol B, Payan MJ. Acute necrotizing ischemic gastritis: clinical, endoscopic and histopathologic aspects. Gastrointest Endosc. Aug 1998;48(2):210-2. [Medline].

  11. Soltermann A, Koetzer S, Eigenmann F, et al. Correlation of Helicobacter pylori virulence genotypes vacA and cagA with histological parameters of gastritis and patient's age. Mod Pathol. Aug 2007;20(8):878-83. [Medline][Full Text].

  12. Srivastava A, Lauwers GY. Pathology of non-infective gastritis. Histopathology. Jan 2007;50(1):15-29. [Medline].

  13. Suerbaum S, Michetti P. Helicobacter pylori infection. N Engl J Med. Oct 10 2002;347(15):1175-86. [Medline].

  14. Yamamoto T, Matsumoto J, Shiota K, et al. Helicobacter heilmannii associated erosive gastritis. Intern Med. Mar 1999;38(3):240-3. [Medline].

Further Reading

Keywords

acute gastritis, gastric mucosa inflammation, inflamed gastric mucosa, pangastritis, antral gastritis, erosive gastritis, nonerosive gastritis, non-erosive gastritis, Helicobacter pylori, H pylori, Candida albicans, C albicans, alcoholic gastritis, NSAIDs, nonsteroidal anti-inflammatory drugs, analgesic-induced gastritis, cytomegalovirus, fungal infection, histoplasmosis, stomach irritation, stomach ache, upset stomach

Contributor Information and Disclosures

Author

Mohammad Wehbi, MD, Assistant Professor of Medicine, Associate Program Director, Department of Gastroenterology, Atlanta Veterans Affairs Medical Center, Emory University School of Medicine
Mohammad Wehbi, MD is a member of the following medical societies: American College of Physicians, American Gastroenterological Association, and American Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Nicole M Griglione, MD, Staff Physician, Department of Medicine, Emory University School of Medicine
Nicole M Griglione, MD is a member of the following medical societies: American Medical Association and Illinois State Medical Society
Disclosure: Nothing to disclose.

Richard H Snyder, MD, Vice-Chair, Program Director, Department of Medicine, Norfolk General Hospital; Clinical Associate Professor, Department of Internal Medicine, East Virginia Medical School
Richard H Snyder, MD is a member of the following medical societies: American College of Physicians
Disclosure: Nothing to disclose.

Gwendolyn Sarver, BS, Pennsylvania State University College of Medicine
Disclosure: Nothing to disclose.

Kamil Obideen, MD, Assistant Professor of Medicine, Division of Digestive Diseases, Emory University School of Medicine; Consulting Staff, Division of Gastrointestinal Endoscopy, Atlanta Veterans Affairs Medical Center
Kamil Obideen, MD is a member of the following medical societies: American College of Gastroenterology, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy
Disclosure: Nothing to disclose.

Vincent W Yang, MD, PhD, R Bruce Logue Professor, Director, Division of Digestive Diseases, Department of Medicine, Professor of Hematology and Oncology, Winship Cancer Institute, Emory University School of Medicine
Vincent W Yang, MD, PhD is a member of the following medical societies: Alpha Omega Alpha, American Gastroenterological Association, American Society for Clinical Investigation, and Association of American Physicians
Disclosure: Nothing to disclose.

Medical Editor

Waqar A Qureshi, MD, Chief of Endoscopy, Associate Professor, Department of Internal Medicine, Division of Gastroenterology, Baylor College of Medicine and VA Medical Center
Waqar A Qureshi, MD is a member of the following medical societies: American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Simmy Bank, MD, Chair, Professor, Department of Internal Medicine, Division of Gastroenterology, Long Island Jewish Hospital, Albert Einstein College of Medicine
Disclosure: Nothing to disclose.

CME Editor

Alex J Mechaber, MD, FACP, Assistant Dean for Medical Curriculum, Associate Professor of Medicine, Division of General Internal Medicine, University of Miami Miller School of Medicine
Alex J Mechaber, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians-American Society of Internal Medicine, and Society of General Internal Medicine
Disclosure: Nothing to disclose.

Chief Editor

Julian Katz, MD, Clinical Professor of Medicine, Drexel University College of Medicine; Consulting Staff, Department of Medicine, Section of Gastroenterology and Hepatology, Hospital of the Medical College of Pennsylvania
Julian Katz, MD is a member of the following medical societies: American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, American Geriatrics Society, American Medical Association, American Society for Gastrointestinal Endoscopy, American Society of Law Medicine and Ethics, American Trauma Society, Association of American Medical Colleges, and Physicians for Social Responsibility
Disclosure: Nothing to disclose.

 
 
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