management of erosive gastritis
Last reviewed 01/2018
If acute gastrointestinal bleeding then immediate review by secondary care is indicated. If evidence of chronic gastrointestinal bleeding (e.g. iron deficiency anaemia) then urgent (2 week) review is indicated.
If immediate referral to secondary care:
- IV access
- patient may need to be resuscitated and stablized patient prior to oesophagoendoscopy
If bleeding continues then patient may require surgical intervention e.g. partial gastric resection
If gastritis related to NSAIDs, aspirin or alcohol then the bleeding usually stops quickly. Stop the aspirin or NSAID and initiate a proton pump inhibitor.
See linked dyspepsia guidance for more information regarding subsequent management.
NICE guidance - management of dyspepsia in adults in primary care (summary section)