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Medical Management for Emphysematous Gastritis: Is It Time for a Standardized Approach?
Mohammad Adam1, Aron Evans2, Islam Mohamed3
1Department of Internal Medicine, University of Missouri-Kansas City, MO, USA.
Journal of Investigative Medicine High Impact Case Reports
|August 13, 2025
Summary
Emphysematous gastritis (EG), a rare and dangerous condition, can be effectively treated with a non-surgical approach. This case study shows medical management alone led to complete recovery, supporting a standardized treatment strategy.
Area of Science:
- Gastroenterology
- Infectious Diseases
Background:
- Emphysematous gastritis (EG) is a rare condition with high mortality.
- No established management guidelines exist due to its rarity.
Purpose of the Study:
- To detail a case of successful medical management of EG.
- To support a non-surgical approach for EG treatment.
Main Methods:
- A 55-year-old male with EG was treated with antibiotics, gastric decompression, bowel rest, and parenteral nutrition.
- Management was exclusively medical, avoiding surgical intervention.
Main Results:
- The patient achieved complete resolution of emphysematous gastritis without complications.
- This outcome supports the efficacy of a medical management strategy.
Conclusions:
- Medical management alone can be effective for emphysematous gastritis.
- Highlights the importance of antibiotic duration, gastric decompression, bowel rest, and parenteral nutrition.
- May guide the development of standardized treatment approaches for EG.
Keywords:
computed tomographyemphysematous gastritisempiric antibioticsgastric decompressiontotal parenteral nutritionMore Related Videos
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