Emphysematous gastritis refers to inflammation in the stomach or gas in the wall of the stomach.
Emphysematous gastritis occurs when organisms that produce gas colonize the stomach and digestive tract. Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids, as well as medical conditions, such as kidney disease, diabetes, alcoholism, and recent stomach surgery, increase the risk.
The condition can be very dangerous, with a death rate of around 60%. People with emphysematous gastritis require emergency treatment.
Read on to learn more about emphysematous gastritis, including the causes, symptoms, and treatment.
Gastritis refers to inflammation in the stomach lining. Multiple underlying causes for this are possible, and the condition may have links to pain. Emphysematous gastritis means that there is gas in the wall of the stomach. Doctors
There may also be gas in the veins surrounding the stomach. This increases the risk of death to 75%.
People with emphysematous gastritis typically have systemic illnesses, not just stomach problems. The condition can affect the heart, lungs, circulation, and organs such as the kidneys and liver.
However, gastric emphysema is distinct from emphysematous gastritis. The former is usually benign and occurs when there is gas in the stomach wall, while emphysematous gastritis develops when an infection causes the gas.
Emphysematous gastritis occurs when
A person is more likely to develop emphysematous gastritis if they have certain comorbidities, such as diabetes, alcoholism, or recent stomach surgery. Drugs that increase the risk of ulcers and stomach bleeding, such as NSAIDs, can also elevate the risk.
However, this is a rare condition that even people with many risk factors do not usually develop.
The symptoms of emphysematous gastritis are nonspecific. They commonly occur with many different illnesses, and the absence of some symptoms does not mean a person does not have emphysematous gastritis.
Some common symptoms
- having signs of systemic illness, such as rapid heart rate and low blood pressure
- feeling very sick
- stomach pain that gets progressively worse and leads to severe illness
- vomiting, nausea, and diarrhea
- signs of organ failure
People who have intense unexplained stomach pain that does not quickly get better or leads to other symptoms, such as a rapid heart rate, should contact a doctor or seek emergency care. Symptoms typically worsen very quickly without treatment and may become life threatening.
Doctors cannot diagnose emphysematous gastritis according to symptoms alone. This is because its symptoms are nonspecific and could indicate various medical conditions.
This means that a doctor may recommend imaging scans of the stomach if a person has intense stomach pain along with risk factors for serious illness.
A CT scan usually shows gas in the stomach. It may also indicate gas in the surrounding veins and looping or obstruction of the intestines.
Cultures of fluid
There is no standardized treatment because emphysematous gastritis is so rare.
Before 2000, doctors often recommended surgery to look for injuries and remove blockages and damaged tissue. However, a
Newer evidence suggests that a person may have better outcomes with conservative treatment that monitors and manages symptoms as they arise.
For example, a
Emphysematous gastritis is extremely rare, and doctors have identified some risk factors and comorbidities that tend to occur with this condition. However, they do not know why some people develop the condition and why most do not. Even those with many risk factors are unlikely to develop emphysematous gastritis.
Some risk factors
- alcohol addiction
- kidney failure
- recent surgery on the stomach or nearby structures
- long-term use of corticosteroids
- long-term use of NSAIDs
- drinking corrosive substances
Additionally, people who develop emphysematous gastritis often have several comorbidities.
The outlook for emphysematous gastritis is typically not good. A diagnosis leads to death in nearly 60% of these cases. Many have underlying medical conditions that make recovery difficult and surgery dangerous.
However, emerging research suggests that conservative medical management, especially when a person seeks early treatment, may improve the chances of survival. In a
Emphysematous gastritis is a serious, life threatening condition that requires immediate medical care. Around 60% of people with this condition do not survive, but prompt care can increase survival rates.
People with intense stomach pain following a medical procedure or injury, or those who experience stomach symptoms with comorbidities, such as diabetes, should seek medical attention promptly.
If the pain is intense or a person feels very sick, they should go to the emergency room.