Is surgical intervention avoidable in cases of emphysematous gastritis? A case presentation and literature review

Szuchmacher, Mauricio; Bedford, T. H. B.; Sukharamwala, Prashant; Nukala, Melanie; Parikh, Neil; DeVito, Peter

doi:10.1016/j.ijscr.2012.12.021

Cited by 43 publications

(45 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most frequently isolated organisms are streptococci, E. coli, Enterobacter species, Pseudomonas aeruginosa and Clostridium perfringens (8). Some studies have reported that infection caused by fungi can occur in patients with emphysematous gastritis, although this finding is rare (9).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful Conservative Treatment of Emphysematous Gastritis

et al. 2015

View full text Add to dashboard Cite

Emphysematous gastritis is an extremely rare disease with an unfavorable prognosis. To date, very few studies have been conducted regarding the intragastric recovery process based on endoscopic findings. We herein report a case of emphysematous gastritis that improved with long-term (five months) conservative treatment in which we were able to observe the intragastric recovery process endoscopically. In cases in which emphysematous gastritis is suspected, it is important to provide prompt diagnostic imaging (including CT) and early appropriate treatment in order to improve the prognosis.

show abstract

Section: Discussionmentioning

confidence: 99%

“…No consensus exists as to the optimal treatment strategy, although a small number of studies have reported successful results with conservative treatment in recent years (7,8,12,13). These reports focused on the use of broad-spectrum antibiotics, bowel rest and nutritional management.…”

Section: Discussionmentioning

confidence: 99%

Successful Conservative Treatment of Emphysematous Gastritis

et al. 2015

View full text Add to dashboard Cite

show abstract

“…1 Most frequently isolated organisms are Streptococci, Escherichia coli, Enterobacter species, Pseudomonas aeruginosa, Clostridium perfringens, and Candida species. 3,5 It has been associated with alcohol abuse, ingestion of corrosive substances, gastroenteritis, diabetes, NSAIDs, abdominal surgery, gastric infarction, phytobezoar, adenocarcinoma of the stomach, leukemia, pancreatitis, disseminated strongyloidiasis in a patient receiving chemotherapy for lymphoma, all of which can breach the integrity of the mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…Emphysematous gastritis must be differentiated from gastric emphysema to avoid adverse outcomes and plan the management. 1 Early recognition and aggressive management is crucial for survival of the patient. 2 This report is a case study of an emphysematous gastritis managed by medical and surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

A case report: emphysematous gastritis

Suwannachod

Rujitanon

2017

Int Surg J

View full text Add to dashboard Cite

Emphysematous Gastritis is a rare condition but high mortality rate. This condition usually occurs in an immunocompromised host. The computed tomography (CT) scan shows gas located within the gastric wall. Early recognition and aggressive management is important for survival of the patient. A 54-year-old man presented to emergency department with severe abdominal pain, vomiting, and diarrhea. Abdominal examination showed significant for epigastrium pain with rebound tenderness. The CT of upper abdomen showed abnormal extensive free air along the greater curve of stomach. Perforation of the stomach could not be excluded. The patient underwent for emergency exploratory laparotomy. Intraoperative finding found the anterior stomach wall, from the fundus to the body, appeared abnormal color and necrosis but no perforation. Esophagogastroduodenoscopy (EGD) showed marked swelling and some areas of necrosis of mucosa from the fundus to the body of stomach. No active bleeding or perforation site was found. Intraoperative saline irrigation was performed without gastric resection. Emphysematous gastritis is a rare condition of gastritis due to invasion of gas producing organisms. The CT abdomen with intravenous contrast shows the presence of air bubbles in the stomach wall. The role of endoscopy is to monitor severity and exclude other pathology. At this time, most of the reports suggest medical treatment better than surgical treatment in patient who has no complication. Medical treatment plays a major role in this case, instead of surgical treatment and the results appeared to be well improved accordingly.

show abstract

“…Some patients with similar co-morbidity have not survived similar management in the past [11][12][13]. Surgical intervention has been successful for cases of EG complicated by gastric or intestinal perforation, ischemia, and unsuccessful medical management [4,14,15].…”

Section: Discussionmentioning

confidence: 99%

Emphysematous gastritis after bone marrow transplant: Successful conservative management

Liaquat¹,

Jaafar²,

Bojanowski³

et al. 2016

IJCRI

View full text Add to dashboard Cite

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

show abstract

Is surgical intervention avoidable in cases of emphysematous gastritis? A case presentation and literature review

Cited by 43 publications

References 10 publications

Successful Conservative Treatment of Emphysematous Gastritis

Successful Conservative Treatment of Emphysematous Gastritis

A case report: emphysematous gastritis

Emphysematous gastritis after bone marrow transplant: Successful conservative management

Contact Info

Product

Resources

About