Chronic Gastritis (H pylori)
Overview
Plain-Language Overview
Chronic Gastritis (H pylori) is a long-lasting inflammation of the stomach lining caused by an infection with the bacterium Helicobacter pylori. This condition affects the digestive system, specifically the stomach, and can lead to symptoms like abdominal pain, nausea, and indigestion. The infection causes damage to the stomach's protective lining, which may result in ulcers or increase the risk of stomach cancer over time. Many people with this condition may not have symptoms initially, but the ongoing inflammation can affect digestion and overall stomach health. Detecting and understanding this condition is important for managing symptoms and preventing complications.
Clinical Definition
Chronic Gastritis (H pylori) is defined as persistent inflammation of the gastric mucosa primarily caused by infection with the gram-negative bacterium Helicobacter pylori. The infection leads to a chronic immune response characterized by infiltration of neutrophils, lymphocytes, and plasma cells in the gastric mucosa, resulting in mucosal damage and atrophy. This condition disrupts the normal gastric environment, impairing acid secretion and mucosal defense mechanisms. It is a major cause of peptic ulcer disease and is strongly associated with the development of gastric adenocarcinoma and mucosa-associated lymphoid tissue (MALT) lymphoma. The pathogenesis involves bacterial virulence factors such as CagA and VacA proteins, which promote inflammation and epithelial injury. Diagnosis and management are critical to prevent progression to more severe gastric pathology.
Inciting Event
Locked content
Latency Period
Locked content
Diagnostic Delay
Locked content
Clinical Presentation
Signs & Symptoms
Locked content
History of Present Illness
Locked content
Past Medical History
Locked content
Family History
Locked content
Physical Exam Findings
Locked content
Diagnostic Workup
Diagnostic Criteria
Locked content
Pathophysiology
Key Mechanisms
Locked content
Organs
Locked content
Tissues
Locked content
Cells
Locked content
Chemical Mediators
Locked content
Treatments
Pharmacological Treatments
Locked content
Non-pharmacological Treatments
Locked content
Prevention
Pharmacological Prevention
Locked content
Non-pharmacological Prevention
Locked content
Outcome & Complications
Complications
Locked content
Short-term Sequelae
Locked content
Long-term Sequelae
Locked content
Differential Diagnoses
Differentials
Locked content