Phlegmonous gastritis

A. I. Miller, B. Smith, A. I. Rogers

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

A review of 23 documented cases of phlegmonous gastritis reported since 1945 in the American literature and 2 of the authors' cases is given. A small series of cases makes it somewhat difficult to draw any definite conclusions regarding the modes of presentation; nonetheless, some clinical trends are discernible. In a patient with a history of large ethanol intake, a recent bout of 'gastritis,' or recent upper respiratory infection, who presents with acute upper abdominal pain, peritonitis, purulent ascitic fluid, and fever, the diagnosis of phlegmonous gastritis must be considered in differential diagnosis. With normal serum amylase, no historical evidence of ulcer or gallbladder disease, the diagnosis becomes even more probable. Preoperative diagnosis is rare, but gastroscopy with or without biopsy, and culture of gastric contents may establish the diagnosis. The definitive treatment would appear to be resection or drainage of the stomach, combined with large doses of systemic antibiotics, usually penicillin. The surgical mortality in cases reviewed was 18.2%, while the medical mortality was 100%. The overall mortality was 67%. It is hoped that more frequent recognition of this disease entity, will lead to earlier diagnosis and a resulting lower morbidity and mortality.

Original languageEnglish
Pages (from-to)231-238
Number of pages8
JournalGastroenterology
Volume68
Issue number2
StatePublished - Dec 1 1975
Externally publishedYes

Fingerprint

Gastritis
Mortality
Gallbladder Diseases
Gastroscopy
Gastrointestinal Contents
Ascitic Fluid
Amylases
Peritonitis
Respiratory Tract Infections
Penicillins
Abdominal Pain
Ulcer
Early Diagnosis
Drainage
Stomach
Differential Diagnosis
Fever
Ethanol
Morbidity
Biopsy

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Miller, A. I., Smith, B., & Rogers, A. I. (1975). Phlegmonous gastritis. Gastroenterology, 68(2), 231-238.

Phlegmonous gastritis. / Miller, A. I.; Smith, B.; Rogers, A. I.

In: Gastroenterology, Vol. 68, No. 2, 01.12.1975, p. 231-238.

Research output: Contribution to journalArticle

Miller, AI, Smith, B & Rogers, AI 1975, 'Phlegmonous gastritis', Gastroenterology, vol. 68, no. 2, pp. 231-238.
Miller AI, Smith B, Rogers AI. Phlegmonous gastritis. Gastroenterology. 1975 Dec 1;68(2):231-238.
Miller, A. I. ; Smith, B. ; Rogers, A. I. / Phlegmonous gastritis. In: Gastroenterology. 1975 ; Vol. 68, No. 2. pp. 231-238.
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