What causes erosive gastritis?

Patient's question:

What causes erosive gastritis? Those who know, please share.

Doctor's answer:

Regarding the causes of erosive gastritis, experts in gastroenterology at Guangzhou Jiahe Hospital specifically point out that erosive gastritis often occurs in stress states caused by surgery, burns, shock, trauma, multiple organ failure, etc. It can also be seen after alcohol consumption or taking non-steroidal drugs. Statistics show that this condition accounts for 20% of the causes of upper gastrointestinal bleeding. Acute stress gastritis is a type of erosive gastritis and can be seen in patients with severe illnesses. Clinically, the proportion of patients with significant upper gastrointestinal bleeding due to gastric and duodenal mucosal damage increases. Risk factors include severe burns, central nervous system trauma, sepsis, shock, respiratory failure with mechanical ventilation, liver and kidney failure, and multiple organ dysfunction. In summary, the more severe the patient's condition, the higher the risk of significant bleeding. The pathological mechanism of acute erosive gastritis in severe patients may be weakened gastric mucosal barrier function. Reduced blood flow to the gastric mucosa and possible increased acid secretion (such as in burns, central nervous system trauma, and sepsis) can promote the formation of mucosal inflammation and ulcers.

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