Gastritis, Gastropathy and Gastroprotection: What is Common and what are the Differences
Marakhouski Yury, Rubens Juris.
American Journal of Medical and Clinical Sciences. 2023;
In the numerous publications available, there are very contradictory provisions on the
relationship between chronic gastritis and gastropathy. The natural history and clinical
significance of gastroduodenal erosions depend on aetiologia and need further clarification.
In the International Statistical Classification of Diseases and Related Health Problems (ICD11) gastric erosion is subordinate to the section gastric ulcer, and there is no erosive gastritis
as a nosologically form. In classification, ICD-11 indicates the following: gastropathy NOS.
The letters NOS are an abbreviation for the term ‘not otherwise specified’, implying that
the documentation that is used for classifying does not provide more detail beyond the
term provided. It implies ‘unspecified’, ‘incompletely specified’ or ‘unqualified’. There
is heterogeneity in the definitions of gastritis types, and gastropathy in the literature,
which has led to confusion in clinical practice and research. The clinically important part
is emphasized: "gastric cytoprotection = gastroprotection" is the prevention of chemically
induced hemorrhagic erosions of the stomach, by substances other than those have an
inhibitory effect on gastric acid secretion, while preservation of microcirculation and gastric
mucosa mucin barrier are a key's element.