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Gastritis
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Inflammation of gastric mucosa induced by group of disorders that differs in etiologic, clinical, histologic, and radiologic findings
            • Classification of gastritis
              • Erosive or hemorrhagic gastritis (2 types)
                • Complete or varioliform
                • Incomplete or "flat"
              • Antral gastritis
              • Helicobacter pylori gastritis
              • Hypertrophic gastritis
              • Atrophic gastritis (2 types: A and B)
              • Granulomatous gastritis (Crohn disease and tuberculosis)
              • Eosinophilic gastritis
              • Emphysematous gastritis
              • Caustic ingestion gastritis
              • Radiation gastritis
              • AIDS-related gastritis: Viral, fungal, protozoal, and parasitic infections
              • Ischemic gastritis

          IMAGING

          • General Features

            • Upper GI Findings

              • CT Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Image Interpretation Pearls

                                  • Reporting Tips

                                    Selected References

                                    1. Zulfiqar M et al: Computed tomography imaging of non-neoplastic and neoplastic benign gastric disease. Curr Probl Diagn Radiol. 48(1):75-96, 2019
                                    2. Gardenyes J et al: Gastric pneumatosis associated to portal venous gas: an image of emphysematous gastritis. Surgery. 164(2):370-1, 2018
                                    3. Nemakayala DR et al: Role of conservative management in emphysematous gastritis. BMJ Case Rep, 2018
                                    4. Elwir S et al: Ischemic gastritis: a multicenter case series of a rare clinical entity and a review of the literature. J Clin Gastroenterol. 50(9):722-6, 2016
                                    5. Yamamichi N et al: Atrophic gastritis and enlarged gastric folds diagnosed by double-contrast upper gastrointestinal barium X-ray radiography are useful to predict future gastric cancer development based on the 3-year prospective observation. Gastric Cancer. 19(3):1016-22, 2016
                                    6. Byrne D et al: Imaging findings in emphysematous gastritis. Ir Med J. 107(2):60-1, 2014
                                    7. Kim HW et al: Atrophic gastritis: a related factor for osteoporosis in elderly women. PLoS One. 9(7):e101852, 2014
                                    8. Makhoul E et al: Emphysematous gastritis. Acta Gastroenterol Belg. 76(4):445-6, 2013
                                    9. Gonen C et al: Magnifying endoscopic features of granulomatous gastritis. Dig Dis Sci. 54(7):1602-3, 2009
                                    10. Yüksel O et al: Erosive gastritis mimicking watermelon stomach. Am J Gastroenterol. 104(6):1606-7, 2009
                                    11. Horton KM et al: Current role of CT in imaging of the stomach. Radiographics. 23(1):75-87, 2003
                                    12. Bender GN et al: Double-contrast barium examination of the upper gastrointestinal tract with nonendoscopic biopsy: findings in 100 patients. Radiology. 202(2):355-9, 1997
                                    13. Sohn J et al: Helicobacter pylori gastritis: radiographic findings. Radiology. 195(3):763-7, 1995
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Definitions

                                              • Inflammation of gastric mucosa induced by group of disorders that differs in etiologic, clinical, histologic, and radiologic findings
                                              • Classification of gastritis
                                                • Erosive or hemorrhagic gastritis (2 types)
                                                  • Complete or varioliform
                                                  • Incomplete or "flat"
                                                • Antral gastritis
                                                • Helicobacter pylori gastritis
                                                • Hypertrophic gastritis
                                                • Atrophic gastritis (2 types: A and B)
                                                • Granulomatous gastritis (Crohn disease and tuberculosis)
                                                • Eosinophilic gastritis
                                                • Emphysematous gastritis
                                                • Caustic ingestion gastritis
                                                • Radiation gastritis
                                                • AIDS-related gastritis: Viral, fungal, protozoal, and parasitic infections
                                                • Ischemic gastritis

                                            IMAGING

                                            • General Features

                                              • Upper GI Findings

                                                • CT Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Consider

                                                                  • Image Interpretation Pearls

                                                                    • Reporting Tips

                                                                      Selected References

                                                                      1. Zulfiqar M et al: Computed tomography imaging of non-neoplastic and neoplastic benign gastric disease. Curr Probl Diagn Radiol. 48(1):75-96, 2019
                                                                      2. Gardenyes J et al: Gastric pneumatosis associated to portal venous gas: an image of emphysematous gastritis. Surgery. 164(2):370-1, 2018
                                                                      3. Nemakayala DR et al: Role of conservative management in emphysematous gastritis. BMJ Case Rep, 2018
                                                                      4. Elwir S et al: Ischemic gastritis: a multicenter case series of a rare clinical entity and a review of the literature. J Clin Gastroenterol. 50(9):722-6, 2016
                                                                      5. Yamamichi N et al: Atrophic gastritis and enlarged gastric folds diagnosed by double-contrast upper gastrointestinal barium X-ray radiography are useful to predict future gastric cancer development based on the 3-year prospective observation. Gastric Cancer. 19(3):1016-22, 2016
                                                                      6. Byrne D et al: Imaging findings in emphysematous gastritis. Ir Med J. 107(2):60-1, 2014
                                                                      7. Kim HW et al: Atrophic gastritis: a related factor for osteoporosis in elderly women. PLoS One. 9(7):e101852, 2014
                                                                      8. Makhoul E et al: Emphysematous gastritis. Acta Gastroenterol Belg. 76(4):445-6, 2013
                                                                      9. Gonen C et al: Magnifying endoscopic features of granulomatous gastritis. Dig Dis Sci. 54(7):1602-3, 2009
                                                                      10. Yüksel O et al: Erosive gastritis mimicking watermelon stomach. Am J Gastroenterol. 104(6):1606-7, 2009
                                                                      11. Horton KM et al: Current role of CT in imaging of the stomach. Radiographics. 23(1):75-87, 2003
                                                                      12. Bender GN et al: Double-contrast barium examination of the upper gastrointestinal tract with nonendoscopic biopsy: findings in 100 patients. Radiology. 202(2):355-9, 1997
                                                                      13. Sohn J et al: Helicobacter pylori gastritis: radiographic findings. Radiology. 195(3):763-7, 1995