6. RUGAL HYPERPLASTIC GASTRITIS

•Gastric folds are considered enlarged when the folds are larger than 5mm

•Giant folds that do not flatten during maximum insufflation suggest an inflammatory or infiltrative process

•The surface may be erythematous, erosive, exudative

•Large caliber forceps is recommended to take a sufficient deep

7. ENTEROGASTRIC REFLUX GASTRITIS

•Gastric mucosa is edema, congestion, hypertrophy and bile in the stomach

•Characterized by abdominal pain, bilious vomiting, and weight loss

•Antacids, cholestyramine

•Consider surgery

INITIAL MANAGEMENT

•Check the patient’s medical history for infection, stress, radiation, allergies, food poisoning, or trauma, using of compounds including NSAIDs, steroid, and aspirin

•Biopsy 3 sample at antrum, body, angle for urease test, histological, culture HP

•Treatment:

•Change life style and eating habits, stop or reduce the dose of drugs that affect the stomach

•Use antacid

•Confirm the presence of Helicobacter pylori and treatment based on protocol