Clinical features and progress of ischemic gastritis with high fatalities: Seven case reports  

作　　者：Kento Shionoya Akiko Sasaki Hidekazu Moriya Karen Kimura Takashi Nishino Jun Kubota Chihiro Sumida Junichi Tasaki Chikamasa Ichita Makomo Makazu Sakue Masuda Kazuya Koizumi Jun Kawachi ToshitakaTsukiyama Makoto Kako 

机构地区：[1]Gastroenterology Medicine Center,Shonan Kamakura General Hospital,Kamakura 247-8533,Kanagawa,Japan [2]Department of General Internal Medicine,Shonan Kamakura General Hospital,Kamakura 247-8533,Kanagawa,Japan [3]Department of General Surgery,Shonan Kamakura General Hospital,Kamakura 247-8533,Kanagawa,Japan [4]Department of Radiology,Shonan Kamakura General Hospital,Kamakura 247-8533,Japan

出　　处：《World Journal of Clinical Cases》2022年第24期8686-8694,共9页世界临床病例杂志

摘　　要：BACKGROUND Ischemic gastritis is a clinically rare and highly fatal disease that occurs when the hemodynamics of a patient with vascular risk is disrupted.Early diagnosis and treatment are possible only with upper endoscopy after symptom appearance.We report seven cases of ischemic gastritis and its clinical features,prognosis,and indicators that may help in early detection.CASE SUMMARY Of the seven patients,six had vascular risk and five died within 2 wk of diagnosis.Their symptoms included hematemesis and hypotension.Although surgery is a choice for radical treatment,not all patients were tolerant.For such patients,conservative treatment was selected,but all of them died.In contrast,patients who underwent repeat endoscopy showed improved mucosal findings,suggesting that this improvement may not affect prognosis.Some ischemic changes such as wall thickening,mural emphysema,and fluid retention in the stomach were observed before diagnosis through endoscopy and computed tomography(CT).The CT scan can be effective for early detection,and improvement in circulatory failure and aggressive treatment may save the lives of patients with this disease.CONCLUSION The characteristic CT findings enable early detection of ischemic gastritis.Early diagnosis increases the chance of survival if early therapeutic intervention and improvement of circulatory dynamics can be achieved in this highly fatal disease.

关 键 词：Celiac artery Gastrointestinal bleeding Ischemic gastritis Superior mesenteric artery Vascular risk Case report 

分 类 号：R573.3[医药卫生—消化系统]