Gastroenterology Book

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Erosive GastritisAka: Hemorrhagic Gastritis, Multiple Gastric Erosions, Stress Ulcer

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  1. See Also
    1. Dyspepsia
    2. Peptic Ulcer Disease
  2. Pathophysiology
  3. Causes
    1. Medications
      1. Aspirin
      2. NSAIDs
      3. Alcohol
    2. Severe stress (mucosal protection breaks down, allows for splanchnic hypoperfusion)
      1. Burns
      2. Sepsis
      3. Trauma
      4. Surgery
      5. Shock
      6. Respiratory failure
      7. Renal Failure
      8. Liver failure
      9. Mechanical Ventilation
  4. Symptoms (May be asymptomatic)
    1. Epigastric discomfort
    2. Nausea or Vomiting
    3. Hematemesis
    4. Melena
  5. Signs
    1. Epigastric tenderness
  6. Diagnosis
    1. Upper endoscopy (EGD)
      1. Mucosal inflammation and engorgement
      2. Erosions and hemorrhages
    2. Upper GI barium study
      1. Thickened rugae
  7. Management
    1. ABC Management first
  8. Prevention in Critically ill hospitalized patients
    1. Option 1: Maintain gastric pH > 4
      1. Proton Pump Inhibitor orally or intravenously
      2. H2 Antagonist IV drip
      3. Protect against Aspiration Pneumonia
    2. Option 2: Topical protectants
      1. Sucralfate (carafate) slurry 1 g PO q6h
      2. Misoprostol 200 ug PO qid
      3. Less risk of Aspiration Pneumonia than Option 1

Curling Ulcer (C0010474)

Definition (MSH)Acute stress DUODENAL ULCER, usually observed in patients with extensive third-degree burns.
ConceptsDisease or Syndrome (T047)
MSHD004381
EnglishCurling Ulcer, Curling's Ulcer, Curling's ulcers, Curlings Ulcer, Stress ulcer, STRESS ULCERS, ULCER STRESS
Spanishulcera por estres, ulceras de Curling, ulceras por stress
Parent ConceptsPeptic Ulcer (C0030920), Non-Neoplastic Gastrointestinal Disorder (C1335011), Gastrointestinal ulcer (C0237938), Stress ulcer of duodenum (C0341237), Ambiguous concept (C1274012)
SourcesAOD, CST, DXP, MSH, NCI, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Acute gastric mucosal erosion (C0267112)

ConceptsDisease or Syndrome (T047)
ICD9535.01, 535.01
EnglishAcute erosion of stomach, Acute erosive gastritis, Acute gastric mucosal erosion, ACUTE GASTRITIS W HMRHG, Acute gastritis with hemorrhage, Acute haemorrhagic gastritis, Acute hemorrhagic gastritis, Erosive Gastritis, Erosive gastropathy, GASTRITIS EROSIVE, GASTRITIS HAEMORRHAGIC, GASTRITIS HEMORRHAGIC, Haemorrhagic gastritis, HEMORRHAGIC GASTRITIS, Idiopathic erosive/haemorrhagic gastritis, Idiopathic erosive/hemorrhagic gastritis
FrenchGastropathie erosive
ItalianGastropatia erosiva
Spanisherosion aguda de estomago, erosion mucosa gastrica aguda, gastritis aguda erosiva, gastritis erosiva, gastritis erosiva aguda, gastritis hemorragica, gastritis hemorragica aguda, gastritis hemorragica/erosiva idiopatica, gastropatia erosiva
Parent ConceptsHemorrhage (C0019080), Stomach Diseases (C0038354), SMALL/LARGE BOWEL (C0549617), Acute gastritis (C0149518), Gastritis (C0017152), Gastric ulcer (C0038358), Gastric hemorrhage (C0235325), Duplicate concept (C1274013), Gastric erosion (C1384498)
SourcesCOSTAR, CST, ICD9CM, MTH, MTHICD9, MTHMST, MTHMSTFRE, MTHMSTITA, NCI, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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