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PATHOPHYSIOLOGY OF GASTRITIS

Predisposing Factors

Modifiable Non-modifiable
 Excessive alcohol intake  Age (<55 years
 Prolonged use of NSAID’s
 Traumatic injury
 Infections
 Severe physiological stress
 Bile reflux following gastric
surgery

Irritation of gastric
mucosa
Reduction in prostaglandin synthesis which is
responsible for the protection of the mucosa from the
effects of the gastric acids

Stomach tissue unprotected from auto digestion of hydrochloric acid


and pepsin
Gastric mucous membrane becomes
edematous
Gastric mucous membrane undergoes superficial
obstruction

Disruption of capillary Gastric glands responsible for the


walls with loss of plasma production of acid is damage due to

Ulceration Scanty amount of gastric


juices is secreted with very

If If not
treated: treated:

Patient recovers within GI bleeding


24 hrs although the
appetite maybe Shock
diminished for an
additional of 2-3 days.
Death

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