Treatment

Acute gastritis is often referable to a time-limited cause that can be identified in the patient's history (gastroenteritis, alcohol ingestion, medications, stress, etc.). Specific treatment is often unnecessary, but the offending substance must be avoided. Dietary measures are also recommended.

If medical treatment is needed, proton pump inhibitors (PPI) are used. Eradication therapy should be considered for severe cases of Helicobacter pylori-positive gastritis.

Fig. 3.8G Differential diagnosis of acute gastritis a Normal mucosa

b Crohn disease

c MALT lymphoma

c MALT lymphoma

Fig. 3.8G Differential diagnosis of acute gastritis a Normal mucosa

d Early-stage carcinoma e Chronic gastritis

f Hypertensive gastropathy d Early-stage carcinoma e Chronic gastritis f Hypertensive gastropathy

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