by Jason Wasserman MD PhD FRCPC
December 12, 2024
This article is designed to help you understand your pathology report for erosive gastritis of the stomach. Each section explains an important aspect of the diagnosis and what it means for you.
Erosive gastritis is a condition where the protective lining inside the stomach becomes damaged or worn away. This damage leads to the loss of specialized cells called epithelial cells, which normally form a barrier to protect the stomach from its own acid and digestive enzymes. When this barrier is compromised, the underlying tissue is exposed, leading to pain, inflammation, and sometimes bleeding.
Erosive gastritis can cause a range of symptoms, including:
If the bleeding is significant or prolonged, it can lead to anemia, a condition where the body does not have enough healthy red blood cells to carry oxygen.
There are many potential causes of erosive gastritis. Common causes include:
Identifying the underlying cause is an important step in treating and managing the condition.
The diagnosis of erosive gastritis is typically made after a biopsy, a procedure in which a small sample of tissue is removed from the stomach lining. A pathologist examines the tissue under a microscope. Additional tests, such as special stains or immunohistochemistry, may be performed to check for the presence of bacteria like Helicobacter pylori, which can also cause gastritis.
Under the microscope, erosive gastritis has several distinctive features, including:
These changes help the pathologist confirm the diagnosis and identify any underlying causes of the condition.
Erosive gastritis is a serious condition that requires prompt treatment to prevent further damage to the stomach and alleviate symptoms. Treatment typically involves addressing the underlying cause. Steps may include:
Your doctor will develop a personalized treatment plan based on the findings in your pathology report and your overall health. If you have any questions about your diagnosis or treatment, be sure to ask your healthcare provider.