Presentation
RESULTS: Despite prophylactic acid suppressive therapy, upper GI bleeding findings were consistently present in high risk patients, 69.4% presenting hematemesis and 55.6% presenting coffee-ground gastric content. [ncbi.nlm.nih.gov]
Gastrointestinal
- Vomiting
Two patients were treated with gastroenterostomy and vagotomy for intractable vomiting due to diabetic gastropathy. [ncbi.nlm.nih.gov]
Symptoms of bleeding in your stomach may include black or tarry stool or red or maroon blood mixed with your stool cramps, discomfort, or pain in your abdomen feeling tired, short of breath, or light-headed red blood in vomit or vomit that looks like [niddk.nih.gov]
If the bleeding is rapid and of adequate volume it may even result in vomiting of bright red blood (hematemesis). [en.wikipedia.org]
[…] the fundus and body of the… … Medical dictionary Hypoproteinemic hypertrophic gastropathy — Also known as Menetrier disease, this is a premalignant disorder of the stomach characterized by overgrowth of the stomach lining (gastric mucosa), nausea and vomiting [translate.academic.ru]
These symptoms may include abdominal pain, nausea, heartburn and vomiting. Without proper medical attention, the pain can grow, becoming continuous, and there may be internal bleeding that can be seen in stools. [westmedical.com]
- Nausea
However, since the symptoms are localized to this organ, the typical symptoms of stomach problems include nausea, vomiting, bloating, cramps, diarrhea and pain. [en.wikipedia.org]
Some symptoms that can occur may include ulcerations on the stomach lining and recurrent nausea. Stomach bleeding may or may not be directly related to the condition. [wisegeekhealth.com]
Medical dictionary gastropathy — … Useful english dictionary Gastropathy, hypoproteinemic hypertrophic — Also known as Menetrier disease, this is a premalignant disorder of the stomach characterized by overgrowth of the stomach lining (gastric mucosa), nausea [translate.academic.ru]
These symptoms may include abdominal pain, nausea, heartburn and vomiting. Without proper medical attention, the pain can grow, becoming continuous, and there may be internal bleeding that can be seen in stools. [westmedical.com]
Koch KL, Bingaman S, Xu L, Stern RM, Muth E: Acute effects of acustimulation at Neiguan point on nausea and gastric myoelectrical activity in patients with chronic nausea. Gastroenterology 112(suppl):A763, 1997 Google Scholar 63. [link.springer.com]
- Abdominal Pain
Remnant gastropathy due to bile reflux is a treatable cause of chronic abdominal pain in RYGB patients, and ursodiol should be considered for empiric treatment in RYGB patients with unexplained chronic abdominal pain. [ncbi.nlm.nih.gov]
Stomach cancers usually occur due to fluctuations in acidity level and may present with vague symptoms of abdominal fullness, weight loss and pain. [en.wikipedia.org]
pain, and hypoalbuminemia (low blood serum level of albumin) due … Medical dictionary Portal hypertensive gastropathy — Classification and external resources Image of portal hypertensive gastropathy seen on endoscopy of the stomach. [translate.academic.ru]
- Dyspepsia
Clinical Features and Natural HistoryTop Patients may present with dyspepsia, nausea, emesis, or loss of appetite. [empendium.com]
Because a similar therapeutic response is also seen in children with functional dyspepsia (12), we wonder whether chemical gastropathy may be present in some children with dyspepsia. [journals.lww.com]
Their father and one paternal uncle also had pachydermoperiostosis and a past history of ulcer dyspepsia. The mother, one sister, two maternal aunts, and one other paternal uncle were healthy. [ncbi.nlm.nih.gov]
Characteristically, patients with Ménétrièr's disease are older than 60 years of age and have epigastric pain, weight loss, nausea, diarrhea, and dyspepsia, with or without a history of peptic ulcer disease. [annals.org]
- Loss of Appetite
Symptoms include abdominal pain, loss of appetite, and weight loss. Diarrhea is also a symptom that can develop, so checking stools for the appearance of blood is important. [en.wikipedia.org]
Other symptoms may include frequent belching, loss of appetite or vomiting. These abruptly appearing signs allow the disease to be detected in good time. [ims.uniklinik-freiburg.de]
[…] gastropatia Definitions of gastropatia n inflammation of the lining of the stomach; nausea and loss of appetite and discomfort after eating Synonyms: gastrite Type of: arrossamento a response of body tissues to injury or irritation; characterized by pain [vocabulary.com]
Symptoms may include pain or discomfort in the upper abdomen nausea or vomiting feeling full too soon during a meal feeling too full after a meal loss of appetite weight loss If gastritis or gastropathy leads to erosions or ulcers, the stomach lining [niddk.nih.gov]
However, the most common symptoms include: Nausea or recurrent upset stomach Abdominal bloating Abdominal pain Vomiting Indigestion Burning or gnawing feeling in the stomach between meals or at night Hiccups Loss of appetite Vomiting blood or coffee ground-like [webmd.com]
Liver, Gall & Pancreas
- Liver Dysfunction
The severity of liver dysfunction is strongly correlated to the severity of PHG. Other humoral signs of a possibility of PHG include increased levels of the vasodilators norepinephrine, glucogen, gastrin, and vasoactive intestinal peptide. [news-medical.net]
Cardiovascular
- Hypertension
[…] of the stomach in patients with portal hypertension. [mjdrdypu.org]
Further Reading All Portal Hypertensive Gastropathy Content Portal Hypertensive Gastropathy Portal Hypertensive Gastropathy (PHG) Treatment Portal Hypertensive Gastropathy Pathogenesis [news-medical.net]
[…] lesions, to compare the endoscopic portal hypertensive lesions with different histologic findings, and to evaluate the use of a possible histologic scoring system. [ncbi.nlm.nih.gov]
[…] gastropathy — Classification and external resources Image of portal hypertensive gastropathy seen on endoscopy of the stomach. [translate.academic.ru]
- Thrombosis
Associated findings were hypertrophic gastric folds, hypoalbuminemia, hyperlipidemia, lymphadenopathy, edema, ascites and venous thrombosis. [ncbi.nlm.nih.gov]
PHG may result due to portal blood pressure caused by portal vein thrombosis. One other circumstance that is related to the presence and severity of PHG is Helicobacter pylori infection. [news-medical.net]
[…] patients had portal hypertension, which was caused by alcoholic cirrhosis in two patients, viral cirrhosis in two, cryptogenic cirrhosis in one, nonalcoholic hepatic steatosis and hepatitis in one, primary sclerosing cholangitis in one, and portal vein thrombosis [ajronline.org]
Though COX-2 inhibitors decrease the GI toxicity to a considerable amount, there is an associated risk of cardiovascular complications due to myocardial infarction and thrombosis associated with their use [99–104]. [hindawi.com]
- Vascular Disease
Of note, liver transplant can benefit patients with gastric vascular ectasia who have cirrhosis, but transjugular intrahepatic portosystemic shunts are not helpful (see Chapter 26, “Vascular Diseases of the Liver”). [oxfordmedicine.com]
Skin
- Ulcer
The essential attention is dedicated to the combination of COPD and erosive/ulcer defects with the haemorrhage risk factor. [ncbi.nlm.nih.gov]
Other abnormalities included gastric in 13 patients (16%), esophagitis in seven (9%), gastric ulcers in six (7%), duodenal ulcer in 11 (14%), postsclerotherapy esophageal ulceration in 10 (12%), and a postsclerotherapy symptomatic esophageal stricture [mayoclinic.pure.elsevier.com]
The previous cited studies 1,2 that evaluated the risk of gastrointestinal tract ulceration during the administration of celecoxib did not include patients with a recent history (≤ 30 days) of peptic ulcer disease. [anesthesiology.pubs.asahq.org]
Prevention of stress ulcers in seriously ill patients: H2 antagonists or PPIs have traditionally been recommended for stress ulcer prophylaxis in the setting of critical illness. [empendium.com]
- Erythema
Twenty-three patients (28%) had findings suggestive of congestive gastropathy: petechiae, focal and diffuse intense erythema, with or without erosions, edematous mucosa with a fine white reticulated or mosaic pattern, and cherry red spots resembling vascular [mayoclinic.pure.elsevier.com]
Pooling of bile with gastric erythema was noted in 22/28 patients. All 22 patients with endoscopic erythema had pathology consistent with bile reflux chemical gastropathy. [ncbi.nlm.nih.gov]
Endoscopic findings include edema, erythema, erosions, and visible bile in the stomach. [oxfordmedicine.com]
Gross/endoscopic Features:[7] Antral erythema +/- erosions. +/-Bile. Microscopic Features - triad:[8][1] Foveolar hyperplasia. Tortuosity of glands in the "neck" region of the gastric glands. [librepathology.org]
Endoscopic evaluation may reveal mucosal edema and erythema, petechiae, hemorrhage, erosions, or ulcerations (in severe cases). Curling ulcers are usually located in the gastric fundus (or may also involve the gastric body). [empendium.com]
- Petechiae
Twenty-three patients (28%) had findings suggestive of congestive gastropathy: petechiae, focal and diffuse intense erythema, with or without erosions, edematous mucosa with a fine white reticulated or mosaic pattern, and cherry red spots resembling vascular [mayoclinic.pure.elsevier.com]
Endoscopic findings include subepithelial hemorrhages, petechiae, and erosions. These lesions are superficial, vary in size and number, and may be focal or diffuse. There usually is no significant inflammation on histologic examination. [accessmedicine.mhmedical.com]
Endoscopic evaluation may reveal mucosal edema and erythema, petechiae, hemorrhage, erosions, or ulcerations (in severe cases). Curling ulcers are usually located in the gastric fundus (or may also involve the gastric body). [empendium.com]
Neurologic
- Irritability
Acute erosive gastropathy Acute erosive gastropathy may occur after contact with irritating substances, such as NSAIDS, alcohol, or cocaine. [niddk.nih.gov]
BACKGROUND: Gastric mucus is considered to play an essential role in gastric mucosal defense mechanisms, especially when irritants are present in the stomach. [ncbi.nlm.nih.gov]
[…] gastropatia Definitions of gastropatia n inflammation of the lining of the stomach; nausea and loss of appetite and discomfort after eating Synonyms: gastrite Type of: arrossamento a response of body tissues to injury or irritation; characterized by pain [vocabulary.com]
- Insomnia
Most often the emotional disturbances include depression, disinterest in normal activities, insomnia, grief, mood changes, anxiety, inability to concentrate, extreme concern about managing a gluten-free lifestyle and other emotional and behavioral challenges [celiac.com]
Workup
METHODS: All consecutive patients with RYGB and a diagnosis of chronic abdominal pain, and a negative diagnostic workup (including physical examination, routine laboratory work, cross-sectional imaging, and standard upper endoscopy), who underwent device-assisted [ncbi.nlm.nih.gov]
A complete laboratory workup evidenced normal complete blood cell count, blood urea nitrogen, creatinine, sodium, and potassium. [care.diabetesjournals.org]
An extensive workup, including ultrasonography (cases 1-4 and 9), computed tomographic (cases 1-4 and 6-9), and 2-[fluorine-18]fluoro-2-deoxy- d -glucose positron emission tomographic scans (cases 2, 4, 6, and 8); colonoscopy (cases 2, 4-6, and 9); and [bloodjournal.org]
Treatment
Remnant gastropathy due to bile reflux is a treatable cause of chronic abdominal pain in RYGB patients, and ursodiol should be considered for empiric treatment in RYGB patients with unexplained chronic abdominal pain. [ncbi.nlm.nih.gov]
Patients receiving zinc sulfate had increased gastropathy risk compared with those receiving no treatment or d-penicillamine. [tandfonline.com]
When the cause of hemorrhagic gastropathy is removed, it generally resolves without further treatment. 2. [empendium.com]
Prognosis
Distinction from Menetrier's disease is emphasized as the condition is characterized by abrupt onset, short duration, eosinophila and good prognosis. The association with hypersensitivity as a possible etiology is more suggestive in this condition. [ncbi.nlm.nih.gov]
What Is the Prognosis for Gastritis? Most people with gastritis improve quickly once treatment has begun. [webmd.com]
Gastritis: Course and Prognosis Whereas Type A gastritis as an autoimmune disease cannot be completely cured, the chances of recovery with Types B and C are very good. [ims.uniklinik-freiburg.de]
Etiology
*Etiologies of different forms of gastritis. *Diagnosis of different forms of gastritis. *Pathophysiology of gastritis. *Types of chronic gastritis. *Treatment approach of gastritis.. .. .. [youtube.com]
Gov't MeSH terms Animals Animals, Newborn Cardiomyopathies/etiology Cardiomyopathies/metabolism Cardiomyopathies/pathology* Case-Control Studies Cells, Cultured Exome/genetics Female Gastritis, Hypertrophic/etiology Gastritis, Hypertrophic/metabolism [ncbi.nlm.nih.gov]
Epidemiology
BACKGROUND: The epidemiology of reactive gastropathy and its relationship with other conditions of the gastrointestinal tract associated with NSAID use have not been evaluated. [ncbi.nlm.nih.gov]
The review presents data concerning the history of the study of this pathology, epidemiology, pathogenesis, clinical manifestations, diagnostic techniques and treatment. [semanticscholar.org]
Epidemiology The incidence of PUD in children is lower than that in adults. [pedsinreview.aappublications.org]
In contrast to H pylori gastritis, the surface epithelium lacked Ki67 expression and a downward elongation of the proliferative zone was noted.[4] Epidemiology[edit] Reactive gastropathy is the second most common pathologic diagnosis rendered on gastric [en.wikipedia.org]
Pathophysiology
As the pathophysiology of diabetic gastropathy is better understood, more specific and improved treatments will evolve. [ncbi.nlm.nih.gov]
*Pathophysiology of gastritis. *Types of chronic gastritis. *Treatment approach of gastritis.. .. .. [youtube.com]
1992 Published online: February 05, 2009 Number of Print Pages: 3 Number of Figures: 0 Number of Tables: 0 ISSN: 0012-2823 (Print) eISSN: 1421-9867 (Online) For additional information: https://www.karger.com/DIG Abstract In order to investigate some pathophysiological [karger.com]
Unlike others on this topic, this text demonstrates how the endoscope incorporates pathophysiology, diagnostic, and treatment modalities into endoscopic practice. [books.google.com]
Prevention
Prevention of NSAID-related gastropathy is an important clinical issue, and therapeutic strategies for both the primary and secondary prevention of adverse events are continually evolving. [ncbi.nlm.nih.gov]
Propranolol was equally effective in preventing recurrent bleeding from gastritis and esophageal varices. [acpjc.acponline.org]
NSAID gastropathy and enteropathy: distinct pathogenesis likely necessitates distinct prevention strategies. Br J Pharmacol., 165, 2012. [degruyter.com]
In this regard, several prevention methods have been used. [hindawi.com]