(Pediatrics in Review. 1997;18:282.)
© 1997 American Academy of Pediatrics
Alcoholic Gastritis
Carolyn Cleary, MD*
Jonathan D. Klein, MD, MPH*
*
University of Rochester Rochester, NY
Gastritis is inflammation of the
gastric mucosa. Alcohol ingestion may lead to an acute hemorrhagic or
erosive gastritis through direct irritation of the gastric mucosa. Alcohol
also leads to increased gastrin production and decreased pepsin secretion,
which can cause gastric irritation. Endoscopy performed on healthy adults
after direct ingestion of alcohol shows gastric hyperemia and erosions.
Although alcohol-related gastritis most often is asymptomatic, it also may
present with epigastric or upper abdominal pain, nausea, vomiting, and
massive or occult gastrointestinal bleeding. In adults, alcohol use is a
common cause of erosive gastritis, but nonsteroidal anti-inflammatory drug
use is the most common cause. The incidence of alcoholic gastritis has not
been identified in children and . . . [Full Text of this Article]
Tina L. Cheng, MD, MPH
Associate Editor, In Brief
Copyright © 1997 by the American Academy of Pediatrics.