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What causes lymphocytic gastritis?

What causes lymphocytic gastritis?

Lymphocytic gastritis is characterized by lymphocytic infiltration of the surface and pit epithelium. Its cause has not been established, but an association with Helicobacter pylori infection or celiac disease has been suggested.

Can lymphocytic gastritis be cured?

Recently, a placebo controlled trial of our group has shown that H. pylori eradication therapy consisting of omeprazole 20 mg bid, clarithromycin 500 mg bid, amoxicillin 1000 mg bid for seven days leads to a complete long-lasting resolution of lymphocytic gastritis in 96 % of patients.

How is lymphocytic gastritis diagnosed?

This type of gastritis is diagnosed histologically based on an accumulation of intraepithelial lymphocytes (more than 25/100 epithelial cells) in the surface cells of the gastric mucosa. Its etiopathogenesis is currently thought to be a sprue-associated reaction or an atypical reaction to Helicobacter pylori infection.

What is the two types of gastritis?

Gastritis and gastropathy are conditions that affect the stomach lining, also known as the mucosa. In gastritis, the stomach lining is inflamed. In gastropathy, the stomach lining is damaged, but little or no inflammation is present.

What does increased intraepithelial lymphocytes mean?

An increased number of IELs is the earliest pathological change following gluten challenge and a high IEL count may be the only sign of gluten sensitivity. Therefore, the finding of a raised IEL count with normal villous architecture is of sufficient clinical importance to be reported in routine small bowel biopsies.

What should you eat if you have gastritis?

Some people find that the following foods and drinks help ease symptoms of gastritis:

  • high fiber foods, such as whole grains, fruits, vegetables, and beans.
  • low fat foods, such as fish, lean meats, and vegetables.
  • foods with low acidity, including vegetables and beans.
  • noncarbonated drinks.
  • caffeine-free drinks.

What are the complications of gastritis?

Complications of acute gastritis include the following:

  • Bleeding from an erosion or ulcer.
  • Gastric outlet obstruction due to edema limiting an adequate transfer of food from the stomach to the small intestine.
  • Dehydration from vomiting.
  • Renal insufficiency as a result of dehydration.

What is granulomatous gastritis?

Granulomatous gastritis is a subtype of chronic gastritis that is classified according to its cause as infectious, noninfectious, or idiopathic 1 2 3. Most cases of granulomatous gastritis occur in patients with Crohn disease, sarcoidosis, or infection.

What is the best treatment for chronic gastritis?

Medications used to treat gastritis include: Antibiotic medications to kill H. pylori. For H. pylori in your digestive tract, your doctor may recommend a combination of antibiotics, such as clarithromycin (Biaxin) and amoxicillin (Amoxil, Augmentin, others) or metronidazole (Flagyl), to kill the bacterium.

Is gastritis a symptom of celiac disease?

Yes. Approximately 50-60% of celiacs have, at the time of diagnosis, a lymphocytic gastritis (infiltration of these specific white blood cells called lymphocytes into the superficial layers of the stomach). However, this is rarely the cause of symptoms and promptly regresses on a gluten-free diet.