Phlegmonous gastritis: A review of 6 cases

Abstract

Although phlegmonous gastritis usually deteriorates rapidly and is fatal disease, the diagnosis is very difficult and it is usually based on physical findings, radiological findings, and endoscopic findings for quick intervention. In our study, we investigated 6 phlegmonous gastritis cases, which were admitted to our hospital, for therapeutic strategy and operative method. All cases were diagnosed as phlegmonous gastritis without pathological findings to intervened as quick as possible, and we focused on the patientʼs vital sign and the localization of lesions for decision of treatment plan. Our study showed that we chose surgical therapy in the fatal cases, whereas we chose antimicrobial therapy in cases which were stable and the lesion was localized. Furthermore, the study also showed that it is useful to consider the vital sign and the localization of lesions for choosing the operative method.