Atrophic gastritis
(Redirected from Autoimmune gastritis)
Editor-In-Chief: Prab R Tumpati, MD
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| Atrophic gastritis | |
|---|---|
| Synonyms | Chronic atrophic gastritis |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Abdominal pain, nausea, vomiting, weight loss, anemia |
| Complications | Gastric cancer, pernicious anemia |
| Onset | Gradual |
| Duration | Long-term |
| Types | N/A |
| Causes | Helicobacter pylori infection, autoimmune disease |
| Risks | Family history, smoking, alcohol consumption |
| Diagnosis | Endoscopy, biopsy, blood test |
| Differential diagnosis | Peptic ulcer disease, gastritis, gastric cancer |
| Prevention | N/A |
| Treatment | Antibiotics, vitamin B12 supplementation, proton pump inhibitors |
| Medication | Antibiotics, proton pump inhibitors |
| Prognosis | N/A |
| Frequency | Common in older adults |
| Deaths | Rare, but can lead to complications |
Atrophic Gastritis
Atrophic Gastritis
Atrophic gastritis is a chronic condition characterized by inflammation and progressive wasting away of the stomach lining, leading to the loss of glands that produce stomach acid.
Introduction
Atrophic gastritis involves gradual damage and thinning of the gastric mucosa, which is responsible for the production of stomach acid and digestive enzymes. This condition can lead to various digestive problems and nutritional deficiencies.
Pathophysiology
The process of atrophy in the stomach lining involves:
- Inflammation of the gastric mucosa
- Thinning and loss of the protective layer of the stomach
- Reduction or absence of acid-producing gastric glands
Causes
Atrophic gastritis can be caused by several factors, including:
- Helicobacter pylori infection, a common cause of chronic gastritis
- Autoimmune reactions, where the body's immune system mistakenly attacks stomach cells
- Long-term use of certain medications, such as proton pump inhibitors
Symptoms
Symptoms of atrophic gastritis can include:
- Abdominal discomfort or pain
- Nausea and vomiting
- Bloating and indigestion
- Loss of appetite
- Weight loss
Diagnosis
Diagnosis of atrophic gastritis typically involves:
- Endoscopic examination of the stomach
- Biopsy of stomach tissue
- Blood tests to detect Helicobacter pylori infection or autoimmune markers
Treatment
Treatment options depend on the underlying cause but may include:
- Antibiotics to treat Helicobacter pylori infection
- Medications to reduce stomach acid
- Dietary changes and supplements to address nutritional deficiencies
Complications
If left untreated, atrophic gastritis can lead to complications like:
- Pernicious anemia due to vitamin B12 deficiency
- Increased risk of gastric cancer
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Contributors: Kondreddy Naveen, Prab R. Tumpati, MD