Successful Conservative Treatment of Emphysematous Gastritis

Abstract

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.

Emphysematous gastritis after bone marrow transplant: Successful conservative management

“…There have been cases of associated bacterial infection with Clostridium welchii, Escherichia coli, Streptococcus, Bacillus subtilis, proteus, Pseudomonas and Enterobacter [1,4]. Our patient was There is no established diagnostic criteria for EG [2]. Previous studies have suggested severe symptoms, characteristic medical imaging and bacterial infection as diagnostic markers.…”

“…Known associated conditions include ingestion of corrosives, alcohol abuse, renal failure, diabetes, non-steroidal anti-inflammatory drug usage, pancreatitis, gastroenteritis and recent abdominal surgery [2,3]. There have been cases of associated bacterial infection with Clostridium welchii, Escherichia coli, Streptococcus, Bacillus subtilis, proteus, Pseudomonas and Enterobacter [1,4].…”

“…Conservative medical management for EG has been successful in several cases [2,4,10]. The management in these cases included bowel rest, hyperalimentation via central venous nutrition, broad-spectrum antibiotics, proton pump inhibitors and a nasogastric tube.…”

“…Approximately 70 cases of EG have been reported in literature so far. There are some reports of successful conservative management in uncomplicated EG while surgery is usually required in the presence of complications like perforation or peritonitis [2]. We present a case of a man with testicular cancer who developed EG after recent chemotherapy and stem cell transplantation and was managed successfully with conservative treatment.…”

Emphysematous gastritis developing after isolated cardioembolic event

“…Emphysematous gastritis (EG) is a rare phenomenon that is defined by gas within the gastric wall (Takano et al 2015). EG is often a fatal condition caused by gas-producing bacteria with mortality rates as high as 55-61% (Takano et al 2015, Chen 2016, Watson et al 2016.…”