What is the role of endoscopy in the workup of acute gastritis?

Updated: Jul 12, 2020
  • Author: Sarah El-Nakeep, MD; Chief Editor: BS Anand, MD  more...
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Answer

Endoscopy in a patient with acute gastritis may reveal a thickened, edematous, nonpliable gastric wall with erosions and reddened gastric folds. The edema can be severe, resulting in gastric outlet obstruction. Ulcers and frank bleeding may be present.

The nematodes that cause anisakidosis can be seen on endoscopy.

Endoscopy can also be used to help diagnose gastric syphilis and tuberculosis.

A meta-analysis has shown that for individuals who undergo endoscopy for dyspepsia, the most common finding is erosive esophagitis (although the prevalence was lower when the Rome criteria were used to define dyspepsia), followed by peptic ulcers. [8]


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