Reactive gastropathy - Revision history

Michael: /* Epidemiology */

2016-06-17T17:47:56Z

Epidemiology

← Older revision		Revision as of 17:47, 17 June 2016
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	**Iron (brown pigment on histology).		**Iron (brown pigment on histology).
	**[[NSAID]]s - synergistic effect with corticosteroids.		**[[NSAID]]s - synergistic effect with corticosteroids.
			**Steroids.<ref>URL: [http://www.cmej.org.za/index.php/cmej/article/view/2316/2190 http://www.cmej.org.za/index.php/cmej/article/view/2316/2190]. Accessed on: June 17, 2016.</ref>

	Notes:		Notes:

Michael: /* Sign out */

2016-04-29T13:55:16Z

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← Older revision		Revision as of 13:55, 29 April 2016
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	STOMACH, BIOPSY:		STOMACH, BIOPSY:
	- ANTRAL-TYPE GASTRIC MUCOSA WITH REACTIVE GASTROPATHY, SEE COMMENT.		- ANTRAL-TYPE GASTRIC MUCOSA WITH REACTIVE GASTROPATHY, SEE COMMENT.
			- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.
	- NEGATIVE FOR INTESTINAL METAPLASIA.		- NEGATIVE FOR INTESTINAL METAPLASIA.
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.~~
	- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.

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	- ANTRAL-TYPE GASTRIC MUCOSA WITH REACTIVE GASTROPATHY AND MILD CHRONIC		- ANTRAL-TYPE GASTRIC MUCOSA WITH REACTIVE GASTROPATHY AND MILD CHRONIC
	INACTIVE INFLAMMATION.		INACTIVE INFLAMMATION.
			- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.
	- NEGATIVE FOR INTESTINAL METAPLASIA.		- NEGATIVE FOR INTESTINAL METAPLASIA.
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.~~
	- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
	</pre>		</pre>
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	- ANTRAL-TYPE GASTRIC MUCOSA WITH SMOOTH MUSCLE HYPERPLASIA,		- ANTRAL-TYPE GASTRIC MUCOSA WITH SMOOTH MUSCLE HYPERPLASIA,
	RARE GLAND TORTUOSITY AND NO SIGNFICANT INFLAMMATION, SEE COMMENT.		RARE GLAND TORTUOSITY AND NO SIGNFICANT INFLAMMATION, SEE COMMENT.
			- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.
	- NEGATIVE FOR INTESTINAL METAPLASIA.		- NEGATIVE FOR INTESTINAL METAPLASIA.
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.~~
	- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.

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	- ANTRAL-TYPE GASTRIC MUCOSA WITH SMOOTH MUSCLE HYPERPLASIA, RARE GLAND TORTUOSITY		- ANTRAL-TYPE GASTRIC MUCOSA WITH SMOOTH MUSCLE HYPERPLASIA, RARE GLAND TORTUOSITY
	AND MINIMAL CHRONIC INACTIVE INFLAMMATION, SEE COMMENT.		AND MINIMAL CHRONIC INACTIVE INFLAMMATION, SEE COMMENT.
			- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.
	- NEGATIVE FOR INTESTINAL METAPLASIA.		- NEGATIVE FOR INTESTINAL METAPLASIA.
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.~~
	- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.

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	- ANTRAL-TYPE GASTRIC MUCOSA WITH PROMINENT SMOOTH MUSCLE, OTHERWISE WITHIN NORMAL		- ANTRAL-TYPE GASTRIC MUCOSA WITH PROMINENT SMOOTH MUSCLE, OTHERWISE WITHIN NORMAL
	LIMITS.		LIMITS.
			- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.
	- NEGATIVE FOR INTESTINAL METAPLASIA.		- NEGATIVE FOR INTESTINAL METAPLASIA.
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.~~
	- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
	</pre>		</pre>

Michael: /* Sign out */

2016-04-29T13:54:02Z

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← Older revision		Revision as of 13:54, 29 April 2016
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	==Sign out==		==Sign out==
			<pre>
			Stomach, Antrum, Biopsy:
			- Antral-type gastric mucosa with reactive gastropathy.
			- NEGATIVE for Helicobacter-like organisms.
			- NEGATIVE for intestinal metaplasia.
			- NEGATIVE for dysplasia and NEGATIVE for malignancy.
			</pre>

			===Block letters===
	<pre>		<pre>
	STOMACH, BIOPSY:		STOMACH, BIOPSY:
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	</pre>		</pre>

	===RG and mild chronic gastritis===		====RG and mild chronic gastritis====
	<pre>		<pre>
	STOMACH, BIOPSY:		STOMACH, BIOPSY:
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	</pre>		</pre>

	===Not well-developed===		====Not well-developed====
	<pre>		<pre>
	STOMACH, BIOPSY:		STOMACH, BIOPSY:
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	</pre>		</pre>

	===Not well-developed with minimal inflammation===		====Not well-developed with minimal inflammation====
	<pre>		<pre>
	STOMACH, BIOPSY:		STOMACH, BIOPSY:
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	</pre>		</pre>

	====Isolated smooth muscle prominence====		=====Isolated smooth muscle prominence=====
	<pre>		<pre>
	STOMACH, BIOPSY:		STOMACH, BIOPSY:

Michael at 14:17, 26 February 2016

2016-02-26T14:17:36Z

← Older revision		Revision as of 14:17, 26 February 2016
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	'''Reactive gastropathy''', abbreviated '''RG''', a relatively common pathology of the [[stomach]]. It is also known as '''chemical gastropathy''',<ref name=pmid16939055>{{Cite journal \| last1 = Genta \| first1 = RM. \| title = Differential diagnosis of reactive gastropathy. \| journal = Semin Diagn Pathol \| volume = 22 \| issue = 4 \| pages = 273-83 \| month = Nov \| year = 2005 \| doi = \| PMID = 16939055 }}</ref> and incorrectly referred to as '''chemical gastritis''' ([[Reactive gastropathy#Relation to gastritis\|see below]]).		'''Reactive gastropathy''', abbreviated '''RG''', a relatively common pathology of the [[stomach]]. It is also known as '''chemical gastropathy''',<ref name=pmid16939055>{{Cite journal \| last1 = Genta \| first1 = RM. \| title = Differential diagnosis of reactive gastropathy. \| journal = Semin Diagn Pathol \| volume = 22 \| issue = 4 \| pages = 273-83 \| month = Nov \| year = 2005 \| doi = \| PMID = 16939055 }}</ref> and incorrectly referred to as '''chemical gastritis''' ([[Reactive gastropathy#Relation to gastritis\|see below]]).

	''NSAID gastropathy'' ~~redirect~~ to here.		''NSAID gastropathy'' redirects to here.

	==General==		==General==

Michael: /* Epidemiology */

2015-12-07T05:50:50Z

Epidemiology

← Older revision		Revision as of 05:50, 7 December 2015
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	! Indication for Rx		! Indication for Rx
	\|-		\|-
	\| ~~NSAIDs~~		\| [[NSAID]]s
	\| common cause		\| common cause
	\| pain, reduce cardiovascular risk		\| pain, reduce cardiovascular risk
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	\| Potassium (KCl)		\| Potassium (KCl)
	\| common cause		\| common cause
	\| ~~renal~~ failure		\| [[congestive heart failure]]<ref name=pmid25960118>{{Cite journal \| last1 = Weir \| first1 = MR. \| last2 = Espaillat \| first2 = R. \| title = Clinical perspectives on the rationale for potassium supplementation. \| journal = Postgrad Med \| volume = 127 \| issue = 5 \| pages = 539-48 \| month = Jun \| year = 2015 \| doi = 10.1080/00325481.2015.1045814 \| PMID = 25960118 }}</ref>
	\|-		\|-
	\| Bisphophonates		\| Bisphophonates
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	\| Ferrous sulfate		\| Ferrous sulfate
	\| very common if symptomatic		\| very common if symptomatic
	\| iron deficiency anemia		\| iron deficiency [[anemia]]
	\|-		\|-
	\| Chloroquine		\| Chloroquine
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	\| Sodium polystyrene sulfonate (Kayexalate)		\| Sodium polystyrene sulfonate (Kayexalate)
	\| rare		\| rare
	\| renal failure ~~patients~~		\| [[renal failure]]
	\|}		\|}

Michael at 20:02, 6 December 2015

2015-12-06T20:02:00Z

← Older revision		Revision as of 20:02, 6 December 2015
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	\| Width =		\| Width =
	\| Caption = Reactive gastropathy. [[H&E stain]].		\| Caption = Reactive gastropathy. [[H&E stain]].
			\| Synonyms = chemical gastritis, chemical gastropathy, NSAID gastropathy (if due to a NSAID)
	\| Micro = foveolar hyperplasia - esp. tortuosity of glands in the "neck" region (S shaped glands), smooth muscle hyperplasia, scant inflammatory cells, +/-edema, +/-erosions		\| Micro = foveolar hyperplasia - esp. tortuosity of glands in the "neck" region (S shaped glands), smooth muscle hyperplasia, scant inflammatory cells, +/-edema, +/-erosions
	\| Subtypes =		\| Subtypes =

Michael at 20:00, 6 December 2015

2015-12-06T20:00:32Z

← Older revision		Revision as of 20:00, 6 December 2015
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	}}		}}
	'''Reactive gastropathy''', abbreviated '''RG''', a relatively common pathology of the [[stomach]]. It is also known as '''chemical gastropathy''',<ref name=pmid16939055>{{Cite journal \| last1 = Genta \| first1 = RM. \| title = Differential diagnosis of reactive gastropathy. \| journal = Semin Diagn Pathol \| volume = 22 \| issue = 4 \| pages = 273-83 \| month = Nov \| year = 2005 \| doi = \| PMID = 16939055 }}</ref> and incorrectly referred to as '''chemical gastritis''' ([[Reactive gastropathy#Relation to gastritis\|see below]]).		'''Reactive gastropathy''', abbreviated '''RG''', a relatively common pathology of the [[stomach]]. It is also known as '''chemical gastropathy''',<ref name=pmid16939055>{{Cite journal \| last1 = Genta \| first1 = RM. \| title = Differential diagnosis of reactive gastropathy. \| journal = Semin Diagn Pathol \| volume = 22 \| issue = 4 \| pages = 273-83 \| month = Nov \| year = 2005 \| doi = \| PMID = 16939055 }}</ref> and incorrectly referred to as '''chemical gastritis''' ([[Reactive gastropathy#Relation to gastritis\|see below]]).

			''NSAID gastropathy'' redirect to here.

	==General==		==General==

Michael: /* Epidemiology */

2015-08-24T22:17:04Z

Epidemiology

← Older revision		Revision as of 22:17, 24 August 2015
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	Etologic factors - associated with:<ref>ALS. 5 February 2009.</ref>		Etologic factors - associated with:<ref>ALS. 5 February 2009.</ref>
	*Excess acid.		*Excess acid.
	*[[EtOH]].		*[[EtOH\|Alcohol use (excessive)]].
	*Bile.		*Bile (reflux).
	*~~[[H. pylori]]~~.		**May be seen post-Bilroth II (distal gastrectomy).
	*Drugs:<ref name=pmid16939055>{{Cite journal \| last1 = Genta \| first1 = RM. \| title = Differential diagnosis of reactive gastropathy. \| journal = Semin Diagn Pathol \| volume = 22 \| issue = 4 \| pages = 273-83 \| month = Nov \| year = 2005 \| doi = \| PMID = 16939055 }}</ref>		*Drugs.<ref name=pmid16939055>{{Cite journal \| last1 = Genta \| first1 = RM. \| title = Differential diagnosis of reactive gastropathy. \| journal = Semin Diagn Pathol \| volume = 22 \| issue = 4 \| pages = 273-83 \| month = Nov \| year = 2005 \| doi = \| PMID = 16939055 }}</ref>
	**Iron (brown pigment on histology).		**Iron (brown pigment on histology).
	**[[NSAID]]s - synergistic effect with corticosteroids.		**[[NSAID]]s - synergistic effect with corticosteroids.

	Drugs that cause erosions and/or ulcers -- adapted from ''Genta'':<ref name=pmid16939055>{{Cite journal \| last1 = Genta \| first1 = RM. \| title = Differential diagnosis of reactive gastropathy. \| journal = Semin Diagn Pathol \| volume = 22 \| issue = 4 \| pages = 273-83 \| month = Nov \| year = 2005 \| doi = \| PMID = 16939055 }}</ref>		Notes:
			*[[H. pylori]] uncommon in RG.<ref name=pmid25238940>{{Cite journal \| last1 = Wolf \| first1 = EM. \| last2 = Plieschnegger \| first2 = W. \| last3 = Schmack \| first3 = B. \| last4 = Bordel \| first4 = H. \| last5 = Höfler \| first5 = B. \| last6 = Eherer \| first6 = A. \| last7 = Schulz \| first7 = T. \| last8 = Vieth \| first8 = M. \| last9 = Langner \| first9 = C. \| title = Evolving patterns in the diagnosis of reactive gastropathy: data from a prospective Central European multicenter study with proposal of a new histologic scoring system. \| journal = Pathol Res Pract \| volume = 210 \| issue = 12 \| pages = 847-54 \| month = Dec \| year = 2014 \| doi = 10.1016/j.prp.2014.08.009 \| PMID = 25238940 }}</ref>

			Drugs that cause erosions and/or ulcers - adapted from ''Genta'':<ref name=pmid16939055>{{Cite journal \| last1 = Genta \| first1 = RM. \| title = Differential diagnosis of reactive gastropathy. \| journal = Semin Diagn Pathol \| volume = 22 \| issue = 4 \| pages = 273-83 \| month = Nov \| year = 2005 \| doi = \| PMID = 16939055 }}</ref>

	{\| class="wikitable sortable" style="margin-left:auto;margin-right:auto"		{\| class="wikitable sortable" style="margin-left:auto;margin-right:auto"

Michael: /* See also */

2014-07-06T02:47:04Z

Michael at 02:46, 6 July 2014

2014-07-06T02:46:22Z

← Older revision		Revision as of 02:46, 6 July 2014
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	{{ Infobox diagnosis		{{ Infobox diagnosis
	\| Name = {{PAGENAME}}		\| Name = {{PAGENAME}}
	\| Image = Reactive_gastropathy_-_intermed_mag.jpg		\| Image = Reactive_gastropathy_--_intermed_mag.jpg
	\| Width =		\| Width =
	\| Caption = Reactive gastropathy. [[H&E stain]].		\| Caption = Reactive gastropathy. [[H&E stain]].
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	===Images===		===Images===
			<gallery>
			Image: Reactive gastropathy -- very low mag.jpg \| RG - very low mag. (WC/Nephron)
			Image: Reactive gastropathy -- low mag.jpg \| RG - low mag. (WC/Nephron)
			Image: Reactive gastropathy - alt -- low mag.jpg \| RG - low mag. (WC/Nephron)
			Image: Reactive gastropathy -- intermed mag.jpg \| RG - intermed. mag. (WC/Nephron)
			Image: Reactive gastropathy - alt -- intermed mag.jpg \| RG - intermed. mag. (WC/Nephron)
			Image: Reactive gastropathy -- high mag.jpg \| RG - high mag. (WC/Nephron)
			</gallery>
	<gallery>		<gallery>
	Image: Reactive_gastropathy_-_low_mag.jpg \| RG - low mag. (WC/Nephron)		Image: Reactive_gastropathy_-_low_mag.jpg \| RG - low mag. (WC/Nephron)
			Image: Reactive_gastropathy_-_intermed_mag.jpg \| RG - intermed. mag. (WC/Nephron)
	Image: Reactive_gastropathy_-_high_mag.jpg \| RG - high mag. (WC/Nephron)		Image: Reactive_gastropathy_-_high_mag.jpg \| RG - high mag. (WC/Nephron)
	</gallery>		</gallery>

← Older revision		Revision as of 02:47, 6 July 2014
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	==See also==		==See also==
	*[[Stomach]].		*[[Stomach]].
			*[[Alcoholism]].

	==References==		==References==