gastrointestinal disorders
Erosive Gastritis
Treatment of Erosive Gastritis
For bleeding: Endoscopic hemostasis For acid suppression: A proton pump inhibitor or H2 blocker In severe gastritis, bleeding is managed with IV fluids and blood transfusion as needed. Endoscopic hemostasis should be attempted, with surgery a fallback procedure if bleeding cannot be controlled endoscopically. Angiography is unlikely to stop severe gastric bleeding because of the many collateral vessels supplying the stomach. Medications for the Treatment of Gastric Acidity should be started if the patient is not already receiving it. For milder gastritis, removing the offending agent and using medications to reduce gastric acidity (see Medications for the Treatment of Gastric Acidity ) to limit further injury and promote healing may be all that is required. 