Management of erosive gastritis

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 stabilized patient prior to oesophago-endoscopy

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.

Reference

1. National Institute for Health and Care Excellence. Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management. Oct 2019 [internet publication].