Which imaging findings are indicate of acute gastritis?

Updated: Jun 13, 2019
  • Author: Mohammad Wehbi, MD; Chief Editor: BS Anand, MD  more...
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Answer

Enlarged area gastrica are a sign of gastritis that is not strongly associated with a specific cause. Area gastrica are small polygonal areas, 1-3 mm in diameter, separated by linear depressions on the surface of the mucous membrane of the stomach; they contain the gastric pits. Enlargement of these areas may reflect inflammatory swelling and is often associated with gastritis. Because of the loss of the mucosal layer, the barium suspension can more completely fill the intervening grooves.

Gastric erosions are noted to be one of the most specific signs of gastritis. Erosions may be linear or serpiginous. They may be accompanied by edema and may be seen on or near the greater curvature of the stomach. A double-contrast examination usually is required to best reveal gastric erosions.

Tomography scan and plain films of the abdomen can demonstrate thickening of the gastric wall in the case of phlegmonous gastritis.

Double-contrast barium radiography can demonstrate the nematodes that cause anisakidosis.


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