Page 153 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
P. 153

A.  Gastritis
                                                   Autoantibodies
         NSAIDs,
         alcohol
                                             IF
           Multi-organ                                         Parietal
                                                               cell
           failure,
           burns                            H +       anhydrase
                                                       Carbonic
               Trauma                                K +
                  Ischemia    Helicobacter pylori             Gastrin
                                 infection          H /K - +  receptor
                                                     +
                                               Lumen  ATPase

                                                                       Gastritis




                               Chronic active                          Plate 6.5
            Erosive and        antral gastritis
            hemorrhagic         (Type B)            Atrophic fundal
                                                     gland gastritis
             gastritis                                 (Type A)
                       1            2          3
                            Gastrin
                                   Acid secretion    Pepsinogen
                                     normal or
                                     increased
                                                  Acid       IF
                                                 secretion  secretion
                                 (Chronic)
                                gastric and
                               duodenal ulcer    Gastrin  Cobalamine
              Acute ulcer                                  absorption
                                    4         G-cell          Long-
                                                              term
                                             hyperplasia
                             Reactive gastritis
                                                  ECL-cell  Cobalamine
                                                 hyperplasia  deficiency



                                      Epithelial
                                     metaplasia
         Bleeding
                  Perforation                              Pernicious
                                                           anemia
                                      Carcinoma  Carcinoid            143

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
   148   149   150   151   152   153   154   155   156   157   158