Cho Hyun Myung, Kim Su Jin, Jang Jin Ook, Lee Jung Wook
Korean J Helicobacter Up Gastrointest Res. 2024 Jun;24(2):113-121. doi: 10.7704/kjhugr.2024.0015. Epub 2024 Jun 10.
An acidic environment, gastric emptying, and abundant blood supply inhibit bacterial infection of the stomach. can evade these defense mechanisms and is a well-known etiological contributor to chronic gastritis. Non- bacterial infections such as acute phlegmonous gastritis, gastric syphilis, gastric tuberculosis, and gastric actinomycosis are uncommon and owing to their nonspecific findings, are diagnostically challenging in patients without a high index of clinical suspicion. Predisposition to bacterial infection is attributable to an increase in the prevalence of medical conditions and factors that precipitate immunosuppression, in addition to high rates of gastric mucosal injury associated with endoscopic procedures. Gastric bacterial infection negatively affects patients' quality of life, increases the socioeconomic burden, and may occasionally be fatal. Therefore, physicians should be familiar with the endoscopic features and clinical manifestations of non- bacterial infections of the stomach.
酸性环境、胃排空及丰富的血液供应可抑制胃部细菌感染。 可规避这些防御机制,是慢性胃炎的一个众所周知的病因。急性蜂窝织炎性胃炎、胃梅毒、胃结核及胃放线菌病等非细菌性感染并不常见,且由于其表现不具特异性,对于临床怀疑指数不高的患者而言,诊断具有挑战性。除了与内镜操作相关的胃黏膜损伤发生率较高外,细菌感染的易感性还归因于导致免疫抑制的医学病症及因素的患病率增加。胃部细菌感染会对患者的生活质量产生负面影响,增加社会经济负担,偶尔可能致命。因此,医生应熟悉胃部非细菌性感染的内镜特征及临床表现。