Ischemic Gastritis Improved by Supportive Care.
10.7704/kjhugr.2017.17.2.103
- Author:
Yun Sun CHOI
1
;
Chan Soo SO
;
Dong Hee KOH
;
Min Ho CHOI
;
Hyun Joo JANG
;
Sea Hyub KAE
;
Jin LEE
;
Young Hee CHOI
Author Information
1. Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
- Publication Type:Case Report
- Keywords:
Ischemic gastritis;
Stomach;
Treatment
- MeSH:
Abdomen, Acute;
Aorta, Abdominal;
Arteries;
Diarrhea;
Gastritis*;
Hematemesis;
Hypertension;
Ischemia;
Peritonitis;
Quadriplegia;
Rare Diseases;
Risk Factors;
Shock, Septic;
Smoke;
Smoking;
Spinal Cord Diseases;
Stomach;
Vascular Diseases
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2017;17(2):103-107
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute extensive ischemic gastritis is an extremely rare disease because the stomach has an abundant submucosal vascular plexus with a dual blood supply from the pancreaticoduodenal and gastroduodenal arteries. Smoking, hypertension, and atherosclerotic vascular diseases can be major risk factors for ischemic gastritis. Acute gastric ischemia presents as an acute abdomen with diarrhea or hematemesis that rapidly progresses to acute peritonitis, irreversible septic shock, and death if untreated. We report a case of acute extensive ischemic gastritis combined with tetraplegia due to cervical myelopathy and extensive atherosclerotic changes of the celiac trunk and abdominal aorta.