20 Gastric
typora-copy-images-to: ./images
![](https://photos.thisispiggy.com/file/wikiFiles/C15E73C6-CAD7-44AF-9887-0ADED4B3EE44.jpg)
- erosion does not break through muscularis mucosa
Gastritis
![](https://photos.thisispiggy.com/file/wikiFiles/68F375DC-6B99-4355-B2B7-FEBFDC02AC76.jpg)
- acute: neutrophil
- chronic: lymphocytes/plasma/macrophages
- acute: acid
- chronic: autoimmune or H. pylori
![](https://photos.thisispiggy.com/file/wikiFiles/BB9496D8-0941-4F4F-907B-201609E176A7.jpg)
Acute Gastritis
![](https://photos.thisispiggy.com/file/wikiFiles/56C8EBE7-0229-4343-BB86-9DD1CBC18767.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/A2F90029-01CC-4E3D-8C66-3369B65DFBCA.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/F0778073-7F94-4F0B-B979-41718D9EF0AB.jpg)
- parietal: body/fundus, not antrum
![](https://photos.thisispiggy.com/file/wikiFiles/9711F500-5DD4-43CA-BC71-BFD467138A1E.jpg)
- H. Pylori: most commonly chronic, but can cause acute
![](https://photos.thisispiggy.com/file/wikiFiles/0AF8C99A-8D94-49C6-997F-DAD59073DBEC.jpg)
- loss of blood flow
- PPI to burn pts
![](https://photos.thisispiggy.com/file/wikiFiles/B83C026B-6CCB-41CB-85CA-511C9206CC32.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/55177955-A0BB-44FE-B5CC-E1E873365AD3.jpg)
Chronic
![](https://photos.thisispiggy.com/file/wikiFiles/CB874008-C59E-446B-8F71-55E37BF7D84F.jpg)
Pernicious Anemia
![](https://photos.thisispiggy.com/file/wikiFiles/0B970119-F489-464F-AA41-8FA11BB6573A.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/7CFB8A41-77B9-488C-9D82-6B4A47904CE1.jpg)
- affects only body/fundus, where parietal cells are
Type B
![](https://photos.thisispiggy.com/file/wikiFiles/FF4E152B-1164-4FDB-BA4D-704C5D6DC6A2.jpg)
- doesn't invade mucosa, sits on top, form protective barrier
![](https://photos.thisispiggy.com/file/wikiFiles/3F70C981-1C22-4F94-90A1-560E180422F4.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/D6ACC023-C023-4B79-BD09-0DE98C230A98.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/F27A3221-3A26-4A58-BA1D-ED29DF7981AE.jpg)
- biopsy of lining of stomach
- urea split into CO2
![](https://photos.thisispiggy.com/file/wikiFiles/B4013637-800E-4422-892F-2C3C8CA89617.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/9360163F-91B8-460A-B74F-05EE70B8755C.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/9D9F46F7-8FE9-4AC7-873F-977B97940804.jpg)
- metaplasia, atrophy of stomach lining
- leads to adenocarcinoma
Peptic Ulcer
![](https://photos.thisispiggy.com/file/wikiFiles/569D8B3C-3E72-4DFF-8C34-BED6C5938A20.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/9D98A2B3-3503-45C7-A510-D75E5E4C7AF3.jpg)
- increased acid from H. pylori
Duodenal Ulcers
![](https://photos.thisispiggy.com/file/wikiFiles/42CF66E2-C224-443E-B8B7-A7FB5547EEDD.jpg)
- G cells sensing alkaline env in antrum
![](https://photos.thisispiggy.com/file/wikiFiles/1BAC1436-6669-41F9-8B86-39C6DAF655CE.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/637F45DA-20E7-47E3-9998-6150CF04341F.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/29FE62AE-AE25-4E4E-B1F2-B3B498FB2C99.jpg)
- pancreas just behind posterior wall
![](https://photos.thisispiggy.com/file/wikiFiles/8599B810-9AFD-4E92-8502-D51866F8CE64.jpg)
- vomiting of coffee ground material
![](https://photos.thisispiggy.com/file/wikiFiles/E1B4E506-9C36-4E1E-AF44-F21F15D12F80.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/B0C2795F-B045-46DA-82AB-8BC49B4681AF.jpg)
Gastric Ulcers
![](https://photos.thisispiggy.com/file/wikiFiles/E0F48AFD-3275-43D1-A554-2D20AB2BCB4F.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/00F931B7-2BE3-4425-8455-3241C1ADC3A0.jpg)
- dangerous cause of gastric ulcer: adenocarcinoma
![](https://photos.thisispiggy.com/file/wikiFiles/3340DAD0-CA8D-4855-A7B8-E4186F57D8FA.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/DD3FFE83-66EB-457D-B6BE-0BFA9AC07E6B.jpg)
Treatment
![](https://photos.thisispiggy.com/file/wikiFiles/F8C18892-74CC-4826-8A69-3C04B323A48A.jpg)
Carcinoma
![](https://photos.thisispiggy.com/file/wikiFiles/17CB937A-6529-41E0-97B5-0F19882FA88A.jpg)
Intestinal
![](https://photos.thisispiggy.com/file/wikiFiles/7A8CBBD1-3C0B-4FF9-9D31-F5ABBEA862AC.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/81ACDA41-66A9-4335-9015-626EEC22E4DE.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/047CD196-4A5F-472A-B309-7CDE7CEFA0C1.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/7F98A212-ECEE-410E-BE58-48CA65B87A4E.jpg)
Diffuse
![](https://photos.thisispiggy.com/file/wikiFiles/3D3FC75C-51BD-4370-AABC-B786D51CA6FD.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/862FED9C-B8B9-4A40-90F8-83731C2DBF3C.jpg)
- entire stomach thickened. Early satiety
![](https://photos.thisispiggy.com/file/wikiFiles/A3D1C52E-29CE-4248-BCC4-86AA4C3F570B.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/92454D74-3549-49A6-84B0-685AB1C3A811.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/8EEF370F-A326-4538-B711-65DAE237F036.jpg)
- suddenly develop keratoses
![](https://photos.thisispiggy.com/file/wikiFiles/7DFBCF26-18DB-4A85-AEE1-D51ED8FB4677.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/02B3227C-5555-4FDA-AC63-AA5A3F6FDB39.jpg)
- diffuse type of adenocarcinoma
Dyspepsia
![](https://photos.thisispiggy.com/file/wikiFiles/4E0B75AB-E073-4BA8-966E-0F3BB99B00B0.jpg)
Hypertrophic Gastropathy
![](https://photos.thisispiggy.com/file/wikiFiles/CA08585C-1709-4B18-AD2C-7BFE053765A3.jpg)
Menetrier
![](https://photos.thisispiggy.com/file/wikiFiles/C540E60F-B5FD-4C04-97EF-032C46BE08AA.jpg)
- low protein leads to hypoalbuminemia
- case: abd pain, edema, facial swelling, low albumin, large stomach on CT
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