erosive gastritis

etiology (50% without causative factors):

• emotional stress, alcohol, acid, corrosives, severe burns, antiinflammatory agents (aspirin, steroids, phenylbutazone, etc.)
• Crohn disease
• herpes, CMV, candidiasis

• varioliform erosion ("target lesions"), <5mm, usually multiple
• nodularity/scalloping of prominent antral folds
• incomplete erosion (linear streaks/dots of barium)
• may have contiguous duodenal disease
• limited distensibility, poor peristalsis/atony, delayed gastric emptying

• 0.5-10% of all GI studies
• 10-20% of all GI hemmorrhage

© 2002, C.E. Kahn, Jr.
2002-04-18