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Corrosive Gastritis


Presentation

  • Two cases of second degree acid corrosive gastritis are presented. Surgery was performed in both patients, only after dysphagia and vomiting became intractable.[ncbi.nlm.nih.gov]
  • The case presented demonstrates that serial sonography can localise the injury, demonstrate its depth and reveal the presence of peristalsis, thereby reducing the radiation exposure resulting from barium studies.[ncbi.nlm.nih.gov]
  • Training (DHET) SciELO SA Science Citation Index (Web of Science (WoS) Core Collection) Abstract HTML Metrics Related Content Abstract A patient who ingested concentrated hydrochloric acid and in whom early stricture of the gastric antrum formed is presented[journals.co.za]
  • ALTHOUGH the subject of corrosive gastritis has been well presented previously, only 1 other case resulting from formaldehyde ingestion has been reported in the American literature. 1 Therefore, it seems appropriate to add this case report to the literature.Case[nejm.org]
  • Confirm each diagnosis by consulting a section, organized by symptoms, that presents the full range of differential diagnoses and treatment options for each specific condition.[books.google.com]
Chest Discomfort
  • He had also developed a sore throat and chest discomfort, as well as distention and tenderness in the abdomen.[ceemjournal.org]
Stridor
  • Upon initial physical examination, the patient was somewhat anxious, but not stridorous; he had a low blood pressure (70/50 mmHg), a pulse rate of 84 beats/min, a peripheral oxygen saturation of 99%, and a body temperature of 36.5 C.[ceemjournal.org]
Abdominal Pain
  • A 59-year-old female with depressive tendencies was admitted suffering from hematemesis and abdominal pain, two hours after ingestion of an unknown amount of toilet bowl cleaner (hydrochloric acid, pH 1.0).[ncbi.nlm.nih.gov]
  • Gastritis is inflammation of the stomach lining resulting in abdominal pain , possible bleeding, and other gastrointestinal symptoms.[healthgrades.com]
  • pain Unknown Gastrointestinal bleeding Respiratory distress Abnormal liver function test Mucous membrane necrosis Wojdyla et al. (1979) [ 5 ] 2 100 Unknown Unknown Unknown Abdominal pain Unknown Gastrointestinal bleeding Respiratory distress Abnormal[ceemjournal.org]
  • The condition often causes abdominal pain and tenderness, nausea, and vomiting. Types of Gastritis Gastritis is not a single disease, and there are a number of different types.[healthcommunities.com]
  • You should see a doctor if you have any of the following: Blood when you have a bowel movement Severe abdominal pain Heartburn not relieved by antacids Unintended weight loss Ongoing vomiting or diarrhea NIH: National Institute of Diabetes and Digestive[icdlist.com]
Loss of Appetite
  • In addition it has the following allied symptoms: Loss of appetite Chronic blenching and bloating Nausea and vomiting Loss of weight due to loss of appetite and nausea Headache, Weakness and dizziness Foul breath, bad taste in mouth.[home-cure.net]
  • Depends on the etiology (see below). asymptomatic epigastric pain/tenderness nausea and vomiting loss of appetite Etiology infection: H. pylori (most common) systemic illness: trauma and burns pharmacological/medication: NSAIDs autoimmune caustic ingestion[radiopaedia.org]
  • This can also cause symptoms like nausea, loss of appetite, stomach pain and vomiting. Alcohol can interrupt mucus production, therefore making the lining more vulnerable.[blog.refluxremedy.com]
  • Symptoms you may notice are: Loss of appetite Nausea and vomiting Pain in the upper part of the belly or abdomen If gastritis is causing bleeding from the lining of the stomach, symptoms may include: Black stools Vomiting blood or coffee-ground like material[medlineplus.gov]
  • Other symptoms include bloating or nausea after eating, vomiting, weight loss, and appetite loss.[chicagoendoscopy.com]
Blood in Stool
  • Other symptoms of acute gastritis include: Nausea Loss of appetite Dark blood in stool or vomiting of blood (caused due to gastrointestinal bleeding) Chronic Gastritis: Causes Normal ageing often results in depletion of mucosa and is a common cause of[home-cure.net]
  • They may also recommend a breath, blood, or stool test to check for H. pylori . In order to get a look at what’s going on inside you, your doctor may want to perform an endoscopy to check for inflammation.[healthline.com]
  • They may include blood tests, stool culture, x-ray of the stomach and breath tests used to look for H. Pylori infection. Under serious circumstances, your doctor may find it necessary to obtain a biopsy of the stomach tissue.[belmarrahealth.com]
  • Procedures may include: Blood test Stool culture Upper gastrointestinal X-ray Upper gastrointestinal endoscopy Breath test for H. pylori infection Treatment Reducing the amount of acid in your stomach will help alleviate gastritis and allow the stomach[chicagoendoscopy.com]
  • […] tests, stool tests [1] Differential diagnosis Myocardial infarction , inflammation of the pancreas , gallbladder problems , peptic ulcer disease [2] Treatment Antacids , H2 blockers , proton pump inhibitors , antibiotics [1] Frequency 50% of people [[en.wikipedia.org]
Hematemesis
  • A 59-year-old female with depressive tendencies was admitted suffering from hematemesis and abdominal pain, two hours after ingestion of an unknown amount of toilet bowl cleaner (hydrochloric acid, pH 1.0).[ncbi.nlm.nih.gov]
  • Ten days later, he was admitted due to epigastric pain and hematemesis. Gastrointestinal endoscopy revealed a hemorrhage from an ulcer located in the posterior wall of the superior gastric body. Hemostasis was performed. The patient was admitted.[jstage.jst.go.jp]
  • […] infections (Salmonella), severe stress (trauma, burns, surgery), ischemia and shock, acid/alkali ingestion as part of suicide attempts, gastric irradiation or freezing, mechanical trauma (nasogastric tube), distal gastrectomy Major cause of massive hematemesis[pathologyoutlines.com]
  • An 11-year-old-Hispanic boy with relapsed acute lymphocytic leukemia presented with hematemesis and melena 1 week after admission for sepsis and rhabdomyolysis. He had presyncope and presented to an outside hospital with hemoglobin 8.4 mg/dL.[journals.lww.com]
Gastropathy
  • Definition Gastric changes due to injury to the mucosa by abnormal luminal contents Alternate/Historical Names Chemical gastropathy Environmental gastritis / gastropathy Reactive gastritis Type C gastritis Some names based on specific causes Bile reflux[surgpathcriteria.stanford.edu]
  • […] gastritis Chronic erosive gastritis Chronic superficial gastritis CMV gastritis Corrosive gastritis Cytomegaloviral gastritis Cytomegalovirus (CMV) gastritis Dietetic gastritis Emphysematous gastritis Eosinophilic gastritis Erosive gastritis Erosive gastropathy[icd9data.com]
  • Reactive gastropathy is the second most common diagnosis made on gastric biopsy specimens after H pylori gastritis. This entity is believed to be secondary to bile reflux and was originally reported after partial gastrectomy (Billroth I or II).[emedicine.medscape.com]
  • On upper endoscopy, the patient was found to have esophageal varices in the distal esophagus and mild portal hypertensive gastropathy. One superficial 6-mm gastric ulcer was found in the gastric body (Figures 1 and 2).[acgcasereports.gi.org]
Stupor
  • Four hours after admission, the patient had deteriorated into a stuporous mental state; he was experiencing respiratory failure, metabolic acidosis, acute renal failure, and continuous hypotension.[ceemjournal.org]

Workup

Hepatic Necrosis
  • We observed corrosive esophagitis, gastritis, and hepatic necrosis. Our case demonstrates that early gastrointestinal hemorrhage may occur, as may delayed hepatic necrosis, uncontrolled metabolic acidosis, and multi-organ failure.[ceemjournal.org]

Treatment

  • Treatment sections explain the most likely treatment for each pathology along with its prognosis Radiographer Notes include tips for producing optimal radiographs along with patient management recommendations.[books.google.com]
  • Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances.[books.google.com]
  • Each chapter extensively reviews epidemiology, etiopathogenesis, clinical features, diagnosis, medical treatment, and surgical treatment.[books.google.com]
  • Review the latest developments in the field and get up-to-date clinical information on hot topics like polyps, capsule endoscopy, and pancreatic treatments.[books.google.com]
  • The amount of tissue destruction and recommended treatment depend on the nature of the corrosive agent and the extent of exposure. Also called toxic gastritis. Compare chemical gastritis , erosive gastritis.[medical-dictionary.thefreedictionary.com]

Prognosis

  • Treatment sections explain the most likely treatment for each pathology along with its prognosis Radiographer Notes include tips for producing optimal radiographs along with patient management recommendations.[books.google.com]
  • Prognosis The discovery of H. pylori has improved the prognosis for persons with gastritis and ulcers. Since treatment exists with the potential to eradicate the infection, recurrence is much less common.[encyclopedia.com]
  • Erosive gastritis prognosis is a debilitating condition and treatment for the same usually lasts long. Submitted on January 16, 2014[diethealthclub.com]

Etiology

  • Depends on the etiology (see below). asymptomatic epigastric pain/tenderness nausea and vomiting loss of appetite Etiology infection: H. pylori (most common) systemic illness: trauma and burns pharmacological/medication: NSAIDs autoimmune caustic ingestion[radiopaedia.org]
  • Incidence of associated etiological factors (83 cases; multiple factors present in some cases) Associated factor Incidence (%) Aspirin & aspirin-containing drugs 36 Phenylbutazone 5 Steroids 1.5 Multiple drugs 2.5 Renal failure 1.5 Acute infections 4[belmarrahealth.com]
  • Ulcero-hemorrhagic gastritis is believed to be secondary to ischemia related to hypotension and shock or to the release of vasoconstrictive substances, but the etiology is often unknown.[emedicine.medscape.com]
  • However, regular use can lead to gastritis. [18] Additionally, severe physiologic stress ("stress ulcers") from sepsis, hypoxia, trauma, or surgery, is also a common etiology for acute erosive gastritis.[en.wikipedia.org]

Epidemiology

  • Each chapter extensively reviews epidemiology, etiopathogenesis, clinical features, diagnosis, medical treatment, and surgical treatment.[books.google.com]
  • Updated content prepares you for today's practice with the latest on morbidity, mortality, and epidemiology; invasive squamous cell carcinoma; scoliosis; joint replacements; chest tubes and lines; MRSA (antibiotic-resistant staph infection); systemic[books.google.com]
  • "Peptic Ulcer Disease: Epidemiology, Pathophysiology, Clinical Manifestations and Diagnosis." In Cecil Textbook of Medicine, 21 st ed. Ed. Lee Goldman and J. Claude Bennett. Philadelphia:W.B. Saunders, 2000, 671-675. Soll, Andrew H.[encyclopedia.com]
Sex distribution
Age distribution

Pathophysiology

  • The dynamic perpetuating pathophysiologic events, starting with coagulation necrosis, impose postponement of surgical intervention. Two cases of second degree acid corrosive gastritis are presented.[ncbi.nlm.nih.gov]
  • Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 52. Kuipers EJ, Blaser MJ. Acid peptic disease. In: Goldman L, Schafer AI, eds.[medlineplus.gov]
  • Diet [ edit ] Evidence does not support a role for specific foods including spicy foods and coffee in the development of peptic ulcers . [15] People are usually advised to avoid foods that bother them. [8] Pathophysiology [ edit ] Acute [ edit ] Acute[en.wikipedia.org]
  • "Peptic Ulcer Disease: Epidemiology, Pathophysiology, Clinical Manifestations and Diagnosis." In Cecil Textbook of Medicine, 21 st ed. Ed. Lee Goldman and J. Claude Bennett. Philadelphia:W.B. Saunders, 2000, 671-675. Soll, Andrew H.[encyclopedia.com]

Prevention

  • The patient had a cicatricial stenosis involving the cardiac region and gastric body, which prevented oral ingestion. Total gastrectomy and R-Y reconstruction were performed 43 days postadmission.[jstage.jst.go.jp]
  • This surgery is performed to prevent an infection from spreading.[diethealthclub.com]
  • Despite the efforts of Jackson * and others to prevent the terrible effects of caustic burns in the food passages, each year adds a new crop of unfortunate victims.[jamanetwork.com]
  • A diet high in fiber may prevent complications caused by erosive gastritis.[livestrong.com]

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