Gastritis is inflammation of the gastric mucosa found in the form of dispepsi and indigesti.
Gastritis is divided into two:
1. Acute gastritis
It is obvious acute clinical disorder caused by the typical signs and symptoms.
Etiology:
1. Drugs: aspirin, nonsteroidal anti-inflammatory drug.
2. Alcohol
3. Impaired gastric mucosal microcirculation: tauma, burns, sepsis
Clinical Manifestation
Epigastric pain syndrome dispepsi form, nausea, bloating, vomiting is one of the complaints that seringm appear.
Diagnosis
There are three ways of making the diagnosis, namely: clinical picture, picture of acute mucosal lesions in gastric mucosal erosion or ulcer erupa shallow with a flat edge on endoscopy, and radiology.
Complication
Upper gastrointestinal bleeding.
Management
Diet of the stomach, with small portions and frequent. Drugs to regulate the secretion of gastric acid, the form of H2 receptor antagonists, proton pump inhibitors, anticholinergics, and antacids. As sitoprektor of Sucralfate and postraglandin.
2. Chronic Gastriris
Clearly associated with Helicobacter pylori, especially if the ulcer was found on investigation.
Pathophysiology
Not yet known for certain.
Clinical Manifestation
Some patients complain of heartburn, anorexia, nausea, and on physical examination found no abnormalities.
Diagnosis
The diagnosis of chronic gastritis is established based on investigation and proceed with the examination of endoscopic biopsy of gastric mucosa hispatologi. Culture should also be done to prove the existence of Helicobacter pylori infection.
Complication
Upper gastrointestinal bleeding, ulcers, perforations, and anemia due to vitamin B12 absorption disorders.
Management
Treatment with dispepsi syndrome, especially when negative serology. First done deal and avoid the causes of acute gastritis. If endoscopy can be performed, unless eradication therapy if results CLO, culture, and PA all three negative or negative serologic results.
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