Emphysematous Gastritis and Gastric Emphysema: Similar Radiographic Findings, Distinct Clinical Entities

Matsushima, Kazuhide; Won, Eugene; Tangel, Matthew; Enomoto, Laura M.; Avella, Diego M.; Soybel, David I.

doi:10.1007/s00268-014-2882-7

Cited by 105 publications

(146 citation statements)

References 90 publications

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Section: Discussionmentioning

confidence: 99%

“…The gastric mucosal barrier has a rich blood supply and acid pH which makes it fairly resistant to infection 5. However, the ingestion of corrosives, non-steroidal anti-inflammatory drugs, alcohol abuse and recent abdominal surgery can disrupt this barrier 5. There seems to be an association with chronic diseases such as diabetes, use of steroids, cytotoxins, rheumatic diseases and previous abdominal surgeries 5.…”

Section: Discussionmentioning

confidence: 99%

“…However, the ingestion of corrosives, non-steroidal anti-inflammatory drugs, alcohol abuse and recent abdominal surgery can disrupt this barrier 5. There seems to be an association with chronic diseases such as diabetes, use of steroids, cytotoxins, rheumatic diseases and previous abdominal surgeries 5. Bacteria can invade the gastric wall via this ulceration or through haematogenous spread 5.…”

Section: Discussionmentioning

confidence: 99%

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Role Of Conservative Management In Emphysematous Gastritis

Nemakayala

Manoj²,

Rayamajhi

et al. 2018

BMJ Case Reports

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Emphysematous gastritis (EG) is a rare disease of the stomach that is caused by gas-forming bacteria, and it can be lethal. There have been <70 reported cases in the English literature of this disease which carries a mortality rate up to 60%. Early recognition and treatment through conservative management have been a popular and successful choice in today’s medicine. Studies have shown that surgical intervention does not confer a statistical benefit on mortality in this condition. We present another case of EG in a 33-year-old woman who was successfully managed conservatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Role Of Conservative Management In Emphysematous Gastritis

Nemakayala

Manoj²,

Rayamajhi

et al. 2018

BMJ Case Reports

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“…Severe clinical illness and co-morbidity, microbial infection usually with gasforming bacteria, and high mortality rate are hallmarks of EG. There is also a greater likelihood for the need of surgery in a patient with EG [7]. Computed tomography scan of the abdomen is the best imaging modality to differentiate between GE and EG.…”

Section: Discussionmentioning

confidence: 99%

Emphysematous gastritis after bone marrow transplant: Successful conservative management

Liaquat¹,

Jaafar²,

Bojanowski³

et al. 2016

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes Review

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“…In patients who do not respond to conservative management, develop signs of peritonitis or show evidence of ischemia, partial or total gastrectomy should be considered [15].…”

Section: Discussionmentioning

confidence: 99%

Gastric Emphysema in a Diabetic Patient Presenting as Chest Pain-A Case Report and Literature Review

Khalid¹,

Bakhit²,

Gayam³

et al. 2016

J Gastrointest Dig Syst

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Gastric emphysema (GE) is a rare radiological finding; Only 41 cases have been reported in literature between 1889-2003. During our review we found 22 cases that are reported in the last decade. The difficulty to differentiate GE from Emphysematous gastritis -which entails a more malignant course, poses a challenge to the clinicians in management. To our knowledge this is the first case of gastric emphysema presenting with chest pain and vomiting.We present a case of a diabetic woman whom presented with chest pain found vomiting and admitted initially as a cardiac case. Later on her admission she was found to have gastric emphysema. She was treated conservatively and had a full recovery.

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Emphysematous Gastritis and Gastric Emphysema: Similar Radiographic Findings, Distinct Clinical Entities

Abstract: Prompt surgical intervention is more commonly indicated for severe EG and is directed at removal of the septic organ, while the primary indication for surgical intervention in GE is the uncertainty of the diagnosis.

Cited by 105 publications

References 90 publications

Role Of Conservative Management In Emphysematous Gastritis

Role Of Conservative Management In Emphysematous Gastritis

Emphysematous gastritis after bone marrow transplant: Successful conservative management

Gastric Emphysema in a Diabetic Patient Presenting as Chest Pain-A Case Report and Literature Review

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