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Gastritis (inflammation of the gastric mucosa)

Molecular classification
Other
01

Overview

Gastric mucosal inflammation, or gastritis, is the pathological process of inflammation in the mucus-lined layer of the stomach (gastric mucosa). It may result from infection (most commonly Helicobacter pylori), autoimmune mechanisms, chemical or drug-induced injury (notably NSAIDs and alcohol), or other causes. Clinically, gastritis may be either acute or chronic and can present with symptoms such as pain, nausea, vomiting, and, in severe cases, bleeding. Chronic gastritis increases the risk of complications including peptic ulcers, polyps, malignant transformation, and anemia. Diagnosis rests on histopathological evidence from biopsy in addition to clinical and endoscopic findings, and treatment is directed at eliminating the underlying cause and suppressing gastric acid.

Other names
Gastric mucosal inflammationGastric inflammationStomach lining inflammationGastritis
02

Mechanism of action

Acid suppression (PPIs, H2 blockers) Antimicrobial eradication of H. pylori (antibiotics) Mucosal protection/enhancement (sucralfate, bismuth) Reduction of gastric irritants (NSAID withdrawal)

03

Biological functions

Immune responseInflammatory responseEpithelial injury and repairMucosal defenseOther
04

Disease associations

InflammationNeuralgia (pain)InfectionCancer (risk factor—chronic gastritis associated with increased risk)Other
05

Safety considerations

Risk of progression to peptic ulcer, bleedingIncreased risk for gastric cancer with chronic inflammationAnemia (especially pernicious anemia from autoimmune gastritis)Adverse effects of medications (PPIs, antibiotics)Other
06

Interacting drugs

Proton pump inhibitors (e.g., omeprazole)

5 more in the full profile.

07

Biomarkers

H. pylori infection status (via urea breath test, stool antigen, biopsy)Inflammatory cells on gastric biopsyAnemia (especially in autoimmune gastritis)Fecal occult bloodGastric pH (less commonly used)Serum vitamin B12 (for autoimmune gastritis)

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