What is erosive gastritis?

Erosive gastritis can be divided into acute erosive gastritis and chronic erosive gastritis. Acute erosive gastritis, also known as acute gastric mucosal lesion or acute erosive hemorrhagic gastritis, is one of the important causes of upper gastrointestinal bleeding, accounting for about 20% of upper gastrointestinal bleeding. Chronic erosive gastritis, also known as verrucous gastritis or pockmarked gastritis, generally only shows symptoms such as fullness, pantothenic acid, belching, irregular abdominal pain and indigestion after meals.

First, endogenous factors.

Severe trauma, extensive burns, septicemia, intracranial lesions, shock, failure of important organs and other critical diseases are the common causes of acute erosive gastritis.

Second, exogenous factors.

Some drugs, such as non-steroidal anti-inflammatory drugs, steroid hormones, some antibiotics, alcohol and so on. , can destroy the gastric mucosal barrier, leading to increased mucosal permeability, hydrogen ions in gastric juice back to the gastric mucosa, causing gastric mucosal erosion and bleeding.

3. Chronic erosive gastritis has many verrucous, swollen, shriveled or papular masses, with a diameter of 5 ~ 10 mm, apical mucosal defect or umbilical depression, central erosion, no redness around the mass, but often accompanied by erythema of similar size, which is more common in gastric antrum and can be divided into persistent and disappearing types. Chronic gastritis is a special type of gastritis in Sydney's systematic classification, and endoscopic classification is convex erosive gastritis and flat erosive gastritis.

Fourth, gastrointestinal barium meal examination Due to the popularization and application of endoscopic technology, gastrointestinal barium meal examination is not recommended at present. Barium meal examination often can't find erosive lesions. Barium is not suitable for patients with acute active bleeding because it can be coated on the mucosal surface and cannot be examined by endoscopy or angiography in the near future.

Verb (abbreviation of verb) acute erosive gastritis

Acute onset, sudden upper gastrointestinal bleeding in the process of primary disease, manifested as hematemesis and melena, and isolated onset is rare. Bleeding is often intermittent. Massive bleeding can lead to syncope or shock and anemia. There is dull pain, discomfort or tenderness in the upper abdomen when bleeding.

6. Angiography In the case of acute erosive gastritis bleeding, superselective angiography of superior mesenteric artery can locate the diagnosis of bleeding, and the intermittent bleeding is often negative.