Hemorrhagic (Erosive) gastritis…

Hemorrhagic (Erosive) gastritis…

Hemorrhagic (Erosive) gastritis...

Hemorrhagic (Erosive) gastritis

Authors

  • From I and III (Tufts) and II and IV (Harvard) Medical Services and the Gastrointestinal Clinic and the Gastro-intestinal Research Laboratory Mallory Institute of Pathology, Boston City Hospital
  • the Department of Medicine Tufts University School of Medicine and Harvard Medical School
  • the Department of Pathology Boston University School of Medicine
  • From I and III (Tufts) and II and IV (Harvard) Medical Services and the Gastrointestinal Clinic and the Gastro-intestinal Research Laboratory Mallory Institute of Pathology, Boston City Hospital
  • the Department of Medicine Tufts University School of Medicine and Harvard Medical School
  • the Department of Pathology Boston University School of Medicine
  • From I and III (Tufts) and II and IV (Harvard) Medical Services and the Gastrointestinal Clinic and the Gastro-intestinal Research Laboratory Mallory Institute of Pathology, Boston City Hospital
  • the Department of Medicine Tufts University School of Medicine and Harvard Medical School
  • the Department of Pathology Boston University School of Medicine

Cite this article as: Jankelson, O.M. Jankelson, I.R. & Zamcheck, N. Digest Dis Sci (1959) 4: 603. doi:10.1007/BF02232155

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Summary and Conclusions

Twenty-one cases of hemorrhagic gastritis confirmed by gastroscopy, surgery, or necropsy are reviewed.

Hemorrhagic gastritis is characterized by a diffuse loss of the superficial gastric mucosa. Gastroscopy shows active bleeding from erosions, superficial ulcers, or areas of easy friability. Clinically, there is usually overt gastrointestinal bleeding, but hematemesis is not universal. The bleeding is usually mild and often recurrent. Any accompanying gastrointestinal symptoms are usually mild and nonspecific.

The lesion may appear without known precipitating events, may accompany other gastrointestinal disease, after surgery, or appear without preceding signs or symptoms at necropsy, apparently as a terminal event. Diffuse erosions have been produced by numerous experimental procedures. It is likely that many nutritional, metabolic, and vascular factors contribute to the pathogenesis of this disorder in human beings.

Our knowledge of the disease is incomplete. More frequent use of gastroscopy for patients with gastrointestinal hemorrhage, especially those without other demonstrable lesions, is urged.

Supported by grants from the U. S. Public Health Service, the American Cancer Society and the Damon Runyon Memorial Fund.

References

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