Acute gastritis according to microbial. Chronic gastroduodenitis code mkb. Chronic gastroduodenitis: signs and treatment in the acute stage

Mucosal atrophy

Chronic gastritis:

antral
fundamental

Giant hypertrophic gastritis

Excluded:

with gastroesophageal (gastroesophageal) reflux (K21.-)
chronic gastritis due to Helicobacter pylori (K29.5)

In Russia, the International Classification of Diseases of the 10th revision (ICD-10) is adopted as a single regulatory document for accounting for morbidity, reasons for the population to contact medical institutions of all departments, and causes of death.

ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Russian Ministry of Health dated May 27, 1997. №170

The publication of a new revision (ICD-11) is planned by WHO in 2017 2018.

With amendments and additions by WHO.

Processing and translation of changes © mkb-10.com

Types of chronic gastritis and ICD-10

Any branch of health care has its own statistical and methodological standards, as well as a system according to which gradation is carried out. In the section that unites the diseases described to date, such has become the International Classification of Diseases 10 revision. In daily clinical practice, for convenience, this classification is called ICD-10. It is international in nature and is designed to provide common starting points for diagnostic criteria for known diseases.

The system is adopted for the work of practitioners in the field of medicine. This normative document is re-evaluated every 10 years. The complete edition of the classification consists of three volumes. This includes instructions for use, the classification itself, and a short alphabetical index.

In the classification, the names of the disease are encrypted with a special code consisting of Latin letters and Arabic numerals. According to ICD-10, acute or chronic gastritis reveals a number of varieties in terms of morphology and severity of clinical manifestations. Acute gastritis according to ICD-10 is assigned code K 29.1

Classification of chronic gastritis

ICD 10 classifies any chronic gastritis under the heading under the Latin letter K, which includes diseases of the digestive system.

Under the sign K 29.3 is meant a superficial chronic process.
Under the heading K 29.4, atrophic chronic gastritis is encrypted.

Chronic superficial gastritis

According to ICD-10, the form has the code K 29.3. The disease refers to easily flowing varieties of a chronic process. The prevalence of the disease is high. In the absence of timely detection and treatment, the disease can develop into a severe form, lead to serious complications.

Inflammatory phenomena in a similar form of the disease, called superficial gastritis, affect only the upper layer of the epithelium that covers the inside of the stomach. The submucosa and muscular membranes of the stomach are not affected. Chronic gastritis according to ICD-10 is coded under the heading of digestive diseases and in a number of other headings, implying infectious, autoimmune or oncological diseases.

Main symptoms

The characteristic clinical manifestations are sensations of pain and discomfort, which are localized in the upper floor of the abdominal cavity. The appearance of pain is associated with a violation of the diet and diet. Prolonged fasting can cause pain, or vice versa, excessive overeating.

After eating, the feeling of pain, fullness and discomfort in the abdomen increases significantly. With focal gastritis, the pain is point-like. Inflammation at the outlet of the stomach forms the clinical picture of antral inflammation. If the inflammation is diffuse, the entire lining of the stomach is affected. If soups and first courses are completely absent from the person’s menu, the patient abuses fatty and spicy foods, the disease becomes chronic and exacerbation is regularly observed in the spring and autumn months, including moments when the regimen and diet are violated. In addition to abdominal pain, the patient complains of heartburn, nausea, belching, and stool disorders. In the absence of proper treatment and adherence to diet and diet, the superficial form turns into erosive gastritis.

Atrophic gastritis

Chronic atrophic gastritis is an independent nosological entity. Atrophic gastritis according to ICD-10 should not be confused with a chronic acute process. Some clinicians call the disease in remission, or inactive.

Pathogenesis

Distinctive features of chronic atrophic gastritis is considered to be a long course, progressive atrophic processes in the mucous membranes of the stomach. Atrophy affects the glands of the stomach, and dystrophic processes begin to prevail over inflammatory ones. Pathogenetic mechanisms ultimately lead to impaired absorption, secretion of glands and motility of the muscles of the stomach. Inflammatory and atrophic processes begin to spread to neighboring anatomical structures that have a common functional purpose with the stomach.

With gastritis, symptoms of general intoxication develop, the nervous system is involved in the process. Weakness, fatigue, lethargy and headache develop. Absorption leads to the development of iron and folate deficiency anemia.

Clinic

Clinically, the picture corresponds to gastritis with a low level of acidity of gastric juice.

The wall of the stomach has a smaller thickness, it is stretched.
The mucous membrane in the stomach shows a flattened appearance, the number of folds is reduced.
The gastric pits are wide and deep.
The epithelium on the microsection has a flattened appearance.
The glands of the stomach secrete a much smaller amount of secretion.
Outside the blood vessels supplying the stomach, leukocytes infiltrate into the walls.
Glandular cells degenerate.

This form of gastritis needs constant replacement therapy.

Unspecified gastritis

The indicated type of disease is coded in ICD-10 as K. 29.7. The diagnosis is put in the medical records when the word Gastritis is put in the diagnosis and no more additional clarifications are contained. The situation arises when the documentation was not kept correctly enough.

It is possible that the lack of informativeness of the diagnosis was associated with the presence of objective difficulties in the diagnosis. The doctor's abilities could be severely limited by the patient's condition, financial situation, or a categorical refusal to undergo an examination.

Special forms of chronic gastritis

In the international classification of diseases, other forms of a chronic inflammatory process in the stomach are also coded. According to the current classification, they act as syndromic conditions in other common diseases. Usually, varieties of gastritis are coded in other subheadings, related in meaning to the underlying disease that caused their development.

As special forms of inflammation, it is customary to consider the following nosological units:

Atrophic-hyperplastic form of gastritis is called warty or polyposis. The disease can be qualified in other headings of the ICD 10. In particular, the polyposis form of inflammation is mentioned under the code K 31.7, considered as a gastric polyp. In addition to the rubric denoting diseases of the digestive system and encoded by the Latin "K", the form is considered in the neoplasms section as the diagnosis "Benign neoplasms of the stomach" and carries the code D13.1.

In the latter case, the ICD-10 code is assigned for the underlying disease that caused the inflammatory process in the gastric mucosa.

Other classifications

In addition to the international classification of diseases, ICD 10, a number of different classifications have been developed that are widely used in the world. They are sometimes more convenient for clinical use than ICD-10, which is primarily aimed at statistical accounting.

For example, in the 90s of the last century, the Sydney Classification was developed. It includes two criteria by which diseases are subdivided. The histological section includes etiological factors, morphology and topographic criteria. According to the classification, all chronic inflammatory processes in the stomach are divided into Helicobacter pylori, autoimmune, reactive. Endoscopic classification considers the severity of mucosal edema and hyperemia of the walls of the stomach.

In recent years, a fundamentally new gradation of inflammatory processes in the stomach has been developed. The division of pathological conditions is made taking into account the severity of morphological changes. The advantages include the fact that it becomes possible to determine the extent of the spread of the pathological process and determine the severity of atrophy based on the results of the therapy.

Chronic gastritis: deciphering the codes for microbial 10

Often, medical terms can very easily confuse the patient. Moreover, faced with a mysterious encoding, the patient's imagination immediately paints a tragic picture. Is no exception for such situations and chronic gastritis. How to interpret and decipher incomprehensible numbers and letters in your own history?

What is ICD and gastritis code?

For a simple layman, ICD 10 and K29.1-9 is a set of incomprehensible letters and numbers, but for a specialist, this combination says a lot. Under the ICD should be understood the international classification of diseases. Her system of statistics of all diseases is accepted as a basis in our health care.

The number 10 indicates the frequency with which statistical information was collected, that is, these data were obtained over a period of 10 years.

As for the following combination K29.1-9, it indicates the type of chronic pathology of the stomach.

The main types of chronic gastritis according to ICD 10

Acute hemorrhagic (erosive) Code 29.0

Pathology is a kind of inflammatory process on the surface of the stomach cavity. The peculiarity of the disease is that the onset is not the formation of an inflamed area, but microcirculatory disorders in the vessels of the submucosal surface. Further, they provoke hemorrhages, gradually impregnating the upper layer of the cavity. As a result of disturbances in the vessels of the stomach wall, blood clots can occur, which causes acute gastritis, inflammation and erosion. Also, this disease is also called hemorrhagic erosive gastritis.

Other types of gastritis (acute type) Code 29.1

This type of pathology is caused as a result of a short action of an aggressive environment, which can be poor-quality food, drugs, etc.

Depending on the type of damage to the mucosa, as well as the characteristics of the clinical signs of gastritis, there are:

Alcohol Code 29.2

In accordance with ICD10, such gastritis does not occur against the background of an inflammatory process. Acute gastritis, in which there is damage to the inner lining of the stomach, is formed as a result of prolonged alcohol intake and is often accompanied by erosions.

Under the influence of ethanol, there is an increase in the production of hydrochloric acid, which gradually corrodes the walls of the stomach, thus violating their structure and making it impossible to fully exercise their functions.

In this case, the blood circulation process is completely disrupted, the production of protective mucus is inhibited, which prevents the restoration of cells of the gastric mucosa.

Superficial chronic Code 29.3

Pathology is considered the most easily form, which is often diagnosed among patients. Untimely or poorly performed treatment threatens to turn this form into a more complex pathology. The superficial appearance only occurs in the outer lining layer without destroying the deeper levels of the gastric mucosa.

Chronic atrophic Code 29.4

Chronic gastritis according to ICD 10 is an inflammatory process on the mucous layer of the stomach, which provokes its thinning. As a result of such destruction, the production of gastric secretion decreases, and the number of epithelial cells involved in the regeneration of the mucosa also becomes much smaller. Against this background, secretory insufficiency of the gastric cavity is formed.

Unspecified chronic Code 29.5

According to the ICD 10 classification, this type of gastritis has two forms:

The antral type is characterized by the localization of the inflammatory process in the lower part of the stomach, called the antrum. This part contains glands that produce the digestive hormone gastrin. Through it, a powerful effect on hydrochloric acid is exerted. In case of its deficiency, increased acidity occurs, which causes an inflammatory process on the walls of the stomach. The disease in most cases becomes chronic.

Acute antral gastritis most often occurs as a result of food intoxication, gross malnutrition and food or drug allergies.

Fundal gastritis develops in the upper and middle zone of the gastric cavity. It is in this part that the digestive glands are located, the purpose of which is to produce hydrochloric acid. In case of partial loss of functions by the digestive glands, the antrum retains its structure.

Other chronic types Code 29.6

In addition to the above forms, chronic gastritis can be:

hypertonic;
granulomatous giant,
Menetrier's disease.

The hypertensive type of gastritis is characterized by increased excitability of the tone of the gastric wall. The cause of this pathology is the excitability of the autonomic nervous system. The acute appearance is more an accompanying symptom of diseases such as neurosis, ulcers, stomach cancer or other diseases of the gastric cavity.

A feature of granulomatous gastritis is the lack of the ability to develop independently. Most often, such diseases as mycosis, tuberculosis, Crohn's disease serve as a favorable background. It can also appear due to the ingress of a foreign body into the stomach cavity.

Menetrier's disease manifests itself in the form of degeneration of the mucous layer of the stomach. As a result of the destructive process, cysts and adenomas form on its walls. In this case, secretory insufficiency occurs, and acute gastritis is characterized by gastric bleeding.

Also, this list of gastric pathologies includes unspecified gastritis under the code 29.7. This disease is characterized by an unclear localization of the inflammatory site.

Chronic gastritis ICD code 10

Most people are accustomed to the standard wording of the diagnosis, but more often than not, the doctor enters a certain code in the patient's medical record. Patients who come with complaints of stomach problems to a gastroenterologist are referred for a number of diagnostic tests. And only on the basis of their results, the doctor usually makes a diagnosis - gastritis.

But what to do if it is written by means of a code, how to understand what this cipher means? Of course, the easiest way out is to ask your gastroenterologist a question, but what if there is a lot of time left before the appointment, and the mysterious combination of numbers as a result of tests, gastroscopy and other studies haunts you? Let's figure it out together - you have chronic gastritis, which ICD 10 code will be written in the "Diagnosis" column?

What is ICD 10

ICD is an abbreviation that stands for "International Classification of Diseases". Of course, each nosological unit usually has its own ordering systems, but it is this one that is generally recognized throughout the world, which allows doctors from different countries to eliminate the language barrier and communicate information about the patient's diagnosis as clearly as possible.

The number 10 in the name of the classification demonstrates that all data is reviewed regularly - every 10 years, so the information in it is always true. Thanks to constant updating, this system allows you to calculate the mortality from pathologies, the incidence of each nosological unit, and much more.

Code of forms of chronic gastritis

According to ICD 10, chronic gastritis is included in the group of diseases of the stomach and duodenum, all of them have a common code 29, and a specific type and form of a nosological unit is indicated through a dot using numbers from 0 to 9.

Gastropathy according to ICD 10 K:

29.0 - acute inflammatory reaction, which is characterized by the presence of bleeding;
29.1 - any form of acute inflammation without bleeding;
29.2 - alcoholic gastritis;
29.3 - superficial, as well as erosive gastritis;
29.4 - chronic atrophic;
29.5 - chronic forms of the inflammatory process with unspecified etiology and pathogenesis;
29.6 - granulomatous or hypertrophic inflammation of the stomach;
29.7 - unidentified form of the inflammatory process of the stomach;
29.8 - duodenitis (inflammation of the duodenum 12);
29.9 - inflammation affecting both the stomach and duodenum (gastroduodenitis).

So, knowing what code chronic gastritis has for microbial 10, you can easily decipher the diagnosis in the medical record and get acquainted with the features of the course and the main subtleties of the treatment of this pathology.

Each of the groups of inflammatory diseases of the stomach in the ICD 10 system may have several more detailed classifications. For example, an erosive species that corresponds to code 29.0 can be divided into:

That is, the international congress, which adopted the ICD 10 classification, summarized as much as possible all existing pathologies, however, each of them can have a significant variety of forms and currents.

The main features of chronic gastritis according to ICD 10

Let us dwell on each cipher relating to chronic gastritis separately.

29.0 Inflammation with bleeding. The picture of the disease is characterized by the fact that the first changes occur in the vessels, and not in the mucous membrane. These disorders lead to the formation of hemorrhages, which, in turn, is fraught with the formation of blood clots, inflammation and erosion.

29.1 Acute gastritis. The reason for the transition of the chronic form to this one can be medication, malnutrition, poisoning, etc. Depending on the type of inflammation, there are:

29.2 Alcoholic. Caused by the abuse of alcoholic beverages. As a result of this addiction, the production of protective mucus by the stomach is disrupted, pathological changes in the blood supply occur, and erosions form.

29.3 Chronic erosive and superficial. The entire inflammatory process does not go beyond the boundaries of the upper lining layer of the gastric mucosa.

29.4 Atrophic gastritis. As a result of inflammation, there is a violation of differentiation (development, maturation) of the cells of the mucous layer, which leads to their failure. The thickness of the shell decreases, the production of enzymes and gastric juice is disturbed.

29.5 Unspecified. Can be divided into:

In the first case, inflammation covers the lower part of the stomach, which means that the production of gastrin is most disturbed. An insufficient amount of this substance causes an increase in the level of acidity of gastric juice.

In the second case (fundal form), inflammation is localized in the middle and upper lobes of the stomach. This leads to a decrease in the activity of gastric juice, because it is here that hydrochloric acid is produced.

29.6 Other forms of chronic gastritis. These pathologies most often occur against the background of other diseases: tuberculosis, mycosis, Crohn's disease, as a result of disorders of nerve conduction. Also, such gastritis can provoke a foreign body that has fallen into the lumen of the stomach.

Knowing the code, it is very easy to understand the causes and small features of the course of various forms of pathology.

Do not be afraid of the ciphers in your medical record, it is important not to get hung up on numbers, but move on to treatment as soon as possible. After all, ignoring the symptoms of the onset of the disease, we create the conditions for its long and persistent course. Be healthy!

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Superficial gastritis - what threatens and how to treat it?

The modern population suffers from various pathologies of the stomach. The most common disease is gastritis, which is a lesion of the gastric mucosa. This pathology is detected in patients of any age and even small children. Gastritis are of different types: erosive, superficial, etc.

What is superficial gastritis of the stomach, ICD-10 code

Superficial gastritis is called inflammation of the lining of the stomach wall. In this case, the lesion affects only the upper epithelial layers, without penetrating into the walls of the organ. Such gastritis is often called catarrhal.

In the international classification of pathologies, this disease has the code K29.3.

Often, the pathology proceeds with a hyperacid reaction, in which the acidity is increased, but normal or reduced hydrochloric acid secretion is also possible.

Epidemiology

Similar gastric inflammation in various forms is detected in almost every adult patient.

According to statistics, pathology is detected in 7 out of 10 people of age.

Moreover, with age, the likelihood of this disease only increases. In men, this pathology is often due to monotonous, malnutrition and unhealthy habits.

In women, superficial gastritis occurs with constant dietary restrictions or starvation. In children, pathology develops against the background of a hereditary predisposition or as a result of malnutrition.

The reasons

The superficial form of gastritis in 80% of cases is the result of the activity of Helicobacter pylori, which penetrates the digestive system from the outside along with various foods, water, etc. But this bacterial microorganism does not always attack the gastric mucosa, for this to happen, the presence of certain favorable factors is necessary, which can become :

Chronic infections in other intraorganic structures;
Wrong lifestyle;
External negative factors, etc.

Therefore, the main reasons for the development of superficial gastritis are two circumstances - the presence of the bacterium Helicobacter pylori and prolonged irritation of the gastric mucosa.

Irritation can occur against the background of such factors:

Incorrect and long drug therapy with drugs from the group of NSAIDs, sulfonamides and hormonal drugs;
With the abuse of smoking and alcohol;
With the abuse of spices and salt;
With improper and unhealthy diet, frequent use of fast food or dry food;
If the patient is engaged in hazardous work where inhalation of toxic or harmful chemicals, fumes, dust, etc. is expected;
With the abuse of sweet soda, including energy drinks.

Also, experts identify a group of risk factors that provoke the development of pathology. Such factors include anemia and material exchange disorders, pulmonary and cardiological, endocrine pathologies, diseases of infectious origin or intraorganic intoxications such as pyelonephritis, etc.

Classification

Superficial gastritis is classified according to localization, prevalence and etiology. According to the location, the pathology is:

Fundal (gastric bottom);
Distal (below, where the transition into the duodenum occurs);
Gastritis of the gastric body;
Pangastritis - when all mucous membranes are affected.

Depending on the prevalence of the inflammatory process, superficial gastritis is:

Focal - when the distribution is localized in separate areas;
Diffuse - when inflammatory processes spread throughout the gastric perimeter.

Depending on the cause of development, gastritis of the superficial group is divided into medicinal and endogenous, bacterial or reflux gastritis, autoimmune, etc.

Reflux gastritis is considered the most dangerous, because the stomach in this form is destroyed quite quickly, and at the cellular level. As a result, the cells change so much that they can provoke oncopathology.

Superficial gastritis is also subdivided according to the level of acidity, there are hyperacid, hypoacid or with normal acidity.

Symptoms

The clinical picture of superficial gastritis is not always typical and depends on many factors such as the type of pathology, the stage of its development, the characteristics of the body and the patient's immunity, etc. Any periodically recurring discomfort, soreness or nausea, intestinal peristaltic problems, etc. can be a reason for suspicion.

Specifically, superficial gastritis is characterized by the presence of pulling pain in the right hypochondrium after eating. Also, patients with a similar pathology are concerned about frequent heartburn, constipation, diarrhea and discomfort (manifested by bursting sensations, heaviness), nausea and vomiting, etc.

As a result, the disease progresses, passes from one stage to another, its clinical picture is aggravated, and the inflammatory process continues to spread through the digestive structures.

stages

There are several stages in the development of superficial gastritis:

The first stage is characterized by mild symptoms, there are practically no symptoms of dystrophic cellular changes;
At the second stage, manifestations become moderately pronounced, there is a noticeable increase in altered cellular structures, and infiltration is observed in the glandular tissues and upper layers of the mucosa;
At the third stage, the clinical picture becomes very pronounced, the walls of the stomach are affected in depth, reaching the muscle tissues, the number of pathologically altered cellular structures literally rolls over.

Complications

If the patient ignores pathological manifestations and refuses therapy, while not observing dietary recommendations, then the pathology quickly spreads to all gastric structures.

As a result of the spread of the pathological process, complications such as gastroduodenitis, ulcerative and erosive processes in the stomach, reflux, etc., develop.

Also, gastritis of the superficial type, if left untreated, can be complicated by acute pancreatitis, colitis, intoxication, adhesions, or erosive and ulcerative bleeding. A neglected pathology will lead to the emergence of malignant tumors.

Diagnostics

If alarming symptoms occur, you need to make an appointment with a gastroenterologist, who will refer the patient for examination, for which the following diagnostic procedures are prescribed:

Examination of the patient;
Collection of anamnestic data;
Visual inspection and palpation;
Research in the laboratory of urine, blood;
FGDS (fibrogastroduodenoscopy);
Electrogastroenterography;
X-ray study.

Treatment of the disease

Therapy is carried out under the guidance of a gastroenterologist after a competent diagnosis. Usually therapy is carried out at home, as patients are prescribed medication.

If Helicobacter pylori is found in the body, then antibiotics are indicated for one to two weeks. Usually prescribed drugs like Hemomycin, Sumamed, Metronidazole.
Be sure to include in the course of therapy drugs that help the gastric mucosa recover as soon as possible. These include histamine receptor blockers like Omez or Famotidine.
With hyperacid gastritis, antacids are indicated that lower hydrochloric acid secretion, for example, Phosphalugel or Almagel.
With low acidity, enzyme preparations such as pepsin or Enzistal are prescribed.
The intake of bismuth preparations is also shown, which reduce the negative acidic effect on the gastric walls, for example, Gastrofarm, De-nol or Alanton.

Sometimes additional drugs are prescribed. If gastritis is complicated by reflux esophagitis, then drugs are prescribed that prevent the penetration of food from the intestine into the stomach, for example, Metoclopramide.

In addition to medications, when the exacerbation is removed, it is also necessary to undergo physiotherapeutic procedures such as paraffin or mud therapy, exercise therapy, therapeutic baths or ozone therapy, mineral waters.

Diet

Of no small importance in antigastritis therapy is a therapeutic nutrition program, which must be observed, otherwise the disease will progress and often worsen.

In general, a therapeutic diet requires the rejection of heavy and fatty foods, pickles and smoked meats, spicy and overly seasoned dishes. Eat fractionally, in small portions, every 2-3 hours. Food must be at room temperature.

The basis of the menu should be low-fat soups, soufflés and cereals, kissels or mashed potatoes. Fruits and vegetables should be eaten only in baked or boiled form. Products are recommended to grind, bringing to a mushy appearance.

The patient should not consume more than 3 kg of food per day. It is recommended to have dinner long before bedtime so that the stomach has time to process the food received.

Forecast

The acute form of inflammation of the superficial type, with proper and timely treatment, is eliminated in 4 days. If the treatment is ignored, then the pathology will progress and become complicated to chronic complex gastritis, which will have to be treated for the rest of your life.

Catarrhal gastritis: why it occurs and how to treat it

Gastritis is an inflammation of the mucous membrane (CO) of the stomach, which is caused by various irritating factors that lead to a violation of its functions. Every second inhabitant of our country at least once experienced the symptoms of this pathology. What is catarrhal gastritis?

Catarrhal gastritis is an acute inflammatory process of the gastric mucosa, caused by the damaging effect of various factors, both external and internal environment. Its second name is simple. It can cover both the entire surface of the gastric mucosa, and only part of it (focal catarrhal gastritis). Symptoms may appear suddenly or have an insidious course.

Classification

According to the International Classification of Diseases, this pathology is divided into the following types:

acute hemorrhagic;
other acute inflammation of the gastric mucosa;
alcoholic;
chronic superficial;
chronic, unspecified;
unspecified etiology and others.

Accordingly, catarrhal gastritis ICD-10 must be attributed to the "other" item.

The reasons

The structure of the gastric mucosa has its own characteristics. There are several types of mucosal cells. Some produce hydrochloric acid, while others produce mucus that protects the inner surface of the stomach from various substances. Under the influence of various factors, an increase in the secretion of the first, a decrease in the secretion of the second, is possible. There is a violation of the ratio of protective, damaging factors, the gastric mucosa becomes too sensitive.

Disease factors include:

violation of the diet;
eating fatty, spicy foods;
consumption of carbonated drinks;
frequent use of alcohol;
stress, emotional overstrain;
binge eating;
poor chewing of food;
frequent snacks;
monotonous food;
violation of the temperature regime of food consumed;
exposure to radiation;
infectious agents;
severe burns of the whole body;
trauma to the stomach;
the use of medicines;
hereditary predisposition.

All of these various factors contribute to mucosal damage and are also inducers of inflammation.

Symptoms

To deal with the question that interests many patients: "What is catarrhal gastritis," you need to know the symptoms of this disease. The main symptom presented by patients is acute pain in the navel and epigastric region. It will be clearly localized, the patient will be able to accurately point with his finger where the epicenter of pain is located.

Another important group of symptoms also include heartburn, belching, a feeling of fullness after eating, early satiety, fever, diarrhea, flatulence, nausea develops, followed by vomiting. Vomit may contain various remnants of undigested food, an admixture of bile, and gastric mucus. After vomiting, the skin turns pale, there is a feeling of weakness, dizziness.

Perhaps a decrease in appetite, up to a complete refusal to eat. The patient argues that she causes him unbearable pain.

Types of catarrh

There are 2 types of this nosological form: acute and chronic. Acute catarrhal gastritis manifests itself after a single irritation of the mucous membrane by various factors. It is manifested by acute pain of a paroxysmal nature, which is stopped by a diet, the use of drugs.

And chronic catarrhal gastritis has two periods: a period of relapse, or exacerbation, and a period of remission. With a relapse, an exacerbation of all symptoms is observed.

Diagnostic methods

Diagnosis of any disease should begin with a thorough history taking. After all, the anamnesis is 80% of the correct diagnosis. Therefore, when a patient visits a medical institution, it is necessary to describe in detail all the symptoms of the disease. According to the complaints, the doctor can make a preliminary diagnosis. To confirm it, it will be necessary to turn to various additional research methods.

Laboratory research methods:

clinical blood test;
blood chemistry;
analysis of feces for occult blood;
bacteriological examination of vomit;
toxicological study of vomit.

Instrumental research methods:

Esophagogastroduodenoscopy. It is a key study for making a diagnosis, as well as prescribing therapy to a patient. This method is necessary so that the doctor can assess the condition of the mucous membrane of the upper parts of the digestive canal. It is necessary to pay attention to the mucous membrane of the stomach, its color, relief, possible ulceration, bleeding. Using this method, you can take a piece of the mucous membrane for a biopsy to exclude or confirm a possible complication (adenocarcinoma).
Fluoroscopy - visualization of an organ on the screen of X-ray equipment, necessary for the study of thickening of the mucous membrane, the presence of nodes, tumor-like formations, obstruction, edema, erosion.
Antroduodenal manometry. This method helps to measure the pressure of the gastroduodenal sphincter. With a decrease in its pressure or an increase in periods of relaxation, regurgitation of the contents of the duodenum into the organs of the gastrointestinal tract, which are anatomically located above, is possible.
Electrogastrography. It shows the presence or absence of violations of the motor function of the stomach, since this is also an important factor in the development of this pathology.
Intragastric pH-metry is an important diagnostic method. You can find out the value of acidity, which is extremely important for building a therapy regimen.
Ultrasound procedure. The method is implemented due to the ability of tissues to reflect sound waves. The study is not informative enough. It is most often used in children, as it is non-invasive and causes minimal discomfort.
Test with proton pump inhibitors (PPIs). An important event for the future construction of a treatment regimen and the correct choice of drugs.

Thanks to these studies, the medical institution will easily make the correct diagnosis for the patient.

How to treat catarrhal gastritis

Catarrhal gastritis: diet

Diet for catarrhal gastritis is the main method of this type of treatment. After all, it is an unbalanced diet that is one of the main factors in the development of the inflammatory process of the mucous membrane. You need to remember the main rule: you need to cook food for a couple, boil or bake. Avoid spicy, fatty, dry foods. It is also necessary to monitor its temperature used. It should not be cold or hot. The temperature should correspond to 37 o C.

The use of salt and pepper should be kept to a minimum. Portions should be fractional, and the number of meals should be up to six times a day. Eating 2-3 hours before bedtime is not recommended. It is necessary to give up rye bread, flour products, fatty meat, carbonated drinks, coffee, cocoa, alcohol, canned food, hot sauces, sausages, smoked meats, hamburgers, and other fast food products.

It is allowed to use various cereals, steam cutlets, lean meat of turkey, rabbit, beef. Also not included in the prohibited list are low-fat cottage cheese, boiled eggs, vegetable soups, apples, banana, red fish, vegetable stew. From drinks, you can use mineral water without gas, jelly, compote, tea, milk, kefir, fermented baked milk.

Useful video

When diagnosed with catarrhal gastritis, treatment should be comprehensive. In this video, the most effective folk remedies are voiced.

Medical therapy

There are several methods of drug therapy, depending on the characteristics of the pathological process. The following groups of treatments are used: proton pump inhibitors (PPIs), antibiotics, H-2 histamine blockers, antispasmodics, antacids.

If the disease is caused by Helicobacter pylori infection, then therapy is performed using PPIs, antibiotics. A group of PPI drugs are quite effective medicines for the treatment of the stomach. The number of contraindications, side effects is minimal. PPIs are the number one drug for the treatment of inflammatory processes in the gastrointestinal tract.

Rabeprazole is the "gold standard" for the treatment of this pathology (PPI group). The average therapeutic dose of this drug (20 mg) is prescribed. Other representatives of the PPI group also include Omeprazole (20 mg per day), Esomeprazole, Pantoprazole (40 mg per day). They should be taken once half an hour before meals. PPI treatment should be combined with the use of antibiotics: Clarithromycin 500 mg with Amoxicillin 1000 mg or Metronidazole 500 mg.

But it should be borne in mind that the combination of Clarithromycin, Amoxicillin is more preferable. This phenomenon is associated with a decrease in the sensitivity of the population of our country to such a drug as Metronidazole. Accordingly, the appointment of Metronidazole is appropriate only after an antibiogram to determine the sensitivity of the infection to this drug. The therapy is carried out for fourteen days.

After the end of treatment, it is necessary to visit a medical institution for the purpose of re-examination. In case of ineffectiveness of the prescribed drugs, a second line of therapy is prescribed, in which drugs of the PPI group are prescribed in a double dose twice, Metronidazole three times, 500 mg each.

In the absence of Helicobacter pylori infection, therapy is based on the appointment of antisecretory agents. PPIs are also prescribed once half an hour before meals. A group of H-2 histamine blockers is used, which include Famotidine (20 mg twice), Ranitidine (150 mg twice). The use of drugs of the antacid group by the patient is also appropriate. These include Sodium bicarbonate, Calcium bicarbonate, Aluminum hydroxide, Maalox. The drugs of this group are used one and a half hours before meals three times a day.

With severe pain syndrome, antispasmodic drugs (No-shpa) are also needed.

With the correct prescription of drugs of various groups, the symptoms begin to gradually disappear after the second day of taking the drugs. In case of complications such as bleeding, perforation, widespread polyposis, surgery may be necessary.

My classmate kept complaining that his stomach hurts. The diagnosis was made in the hospital, which should have been addressed earlier. I will say that canned food with bread was constantly included in his diet. He could even have a snack instead of lunch (soup), a can of saury and bread with onions. The result is gastritis. I tried to eliminate the pain in the stomach with folk remedies, but until I went to the hospital, nothing helped. Eat right - be healthy!

Yes, in our time, gastritis is the most common disease of the stomach, most often it appears in students and schoolchildren. My girlfriend (due to stress, malnutrition and smoking) 2 months ago, the doctor diagnosed her with catarrhal gastritis. She didn't go to school for almost a month. When she came to school, I didn’t recognize her, she lost so much weight. She explained this by the fact that she could hardly eat, her stomach hurt badly. She was treated with pills and brewed herbs.

Any branch of health care has its own statistical and methodological standards, as well as a system according to which gradation is carried out. In the section that unites all the diseases described to date, this is the International Classification of Diseases 10th revision. In daily clinical practice, for convenience, this classification is called ICD-10. It is international in nature and designed to have common starting points in the diagnostic criteria for all diseases.

This system has been adopted for the work of all practitioners in the field of medicine. This normative document is re-evaluated once every 10 years. The complete edition of the entire classification consists of three volumes. They include instructions for use, the classification itself and a short alphabetical index.

In this classification, the names of the disease are encrypted with a special code, which consists of Latin letters and Arabic numerals. According to ICD-10, acute or chronic gastritis has a number of varieties in terms of morphology and severity of clinical manifestations. Acute gastritis according to ICD-10 has code K 29.1

Classification of chronic gastritis

ICD 10 classifies any chronic gastritis under the heading under the Latin letter K, which includes all diseases of the digestive system.

Chronic superficial gastritis

According to ICD-10, this form has the code K 29.3. This disease is one of the most easily occurring varieties of a chronic process. The prevalence of the disease is quite high. In the absence of timely detection and treatment, the disease can develop into a more severe form, and lead to serious complications.

Inflammatory phenomena in this form of the disease, such as superficial gastritis, affect only the upper layer of the epithelium, which lines the inside of the stomach. The submucosa and muscular membranes of the stomach are not affected. Chronic gastritis according to ICD-10 can be coded both under the heading of digestive diseases, and in a number of other headings, implying infectious, autoimmune or oncological diseases.

Main symptoms

The most characteristic clinical manifestations are sensations of pain and discomfort, which are localized in the upper floor of the abdominal cavity. The appearance of pain may be associated with a violation of the diet and diet. Prolonged fasting or vice versa, excessive overeating can also cause pain.

After eating, the feeling of pain, fullness and discomfort in the abdomen can increase significantly. With focal gastritis, pain can be point-like. Inflammation at the outlet of the stomach forms the clinical picture of antral inflammation. If the inflammation is diffuse, the entire lining of the stomach is affected. If soups and first courses are completely absent in a person’s menu, and he abuses fatty and spicy foods, the disease becomes chronic and exacerbation is regularly observed in the spring and autumn months, as well as in violation of the regimen and diet. In addition to abdominal pain, the patient may complain of heartburn, nausea, belching, and stool disorders. In the absence of proper treatment and adherence to a diet and diet, the superficial form can turn into erosive gastritis.

Atrophic gastritis

Chronic atrophic gastritis is an independent nosological entity. Atrophic gastritis according to ICD-10 should not be confused with a chronic acute process. Some clinicians also refer to this disease as in remission or inactive.

Pathogenesis

Distinctive features of chronic atrophic gastritis is a long course, progressive atrophic processes in the mucous membranes of the stomach. Atrophy affects the glands of the stomach, and dystrophic processes begin to prevail over inflammatory ones. Pathogenetic mechanisms eventually lead to the fact that absorption, secretion of glands and motility of the muscles of the stomach are disturbed. Inflammatory and atrophic processes begin to spread to neighboring anatomical structures that have a common functional purpose with the stomach.

Since symptoms of general intoxication develop with gastritis, the nervous system may be involved in the process and weakness, fatigue, lethargy and headache develop. Absorption leads to the development of iron and folate deficiency anemia.

Clinic

Clinically, the picture corresponds to gastritis with a low level of acidity of gastric juice.

The wall of the stomach is thinner and may be distended.
The mucous membrane in the stomach has a smoothed appearance, the number of folds is significantly reduced.
The gastric pits are wide and deep.
The epithelium on the microsection has a flattened appearance.
The glands of the stomach secrete a much smaller amount of secretion.
Outside the blood vessels supplying the stomach, leukocytes infiltrate into the walls.
Glandular cells degenerate.

This form of gastritis needs constant replacement therapy.

Unspecified gastritis

This type of disease is coded in the ICD-10 as K. 29.7. Such a diagnosis can be made in the medical records in cases where the word Gastritis is given in the diagnosis and there are no further clarifications. This situation can arise when the documentation was not kept correctly enough.

Possibly, the lack of informativeness of the diagnosis was associated with the presence of objective difficulties in the diagnosis. The doctor's possibilities in this regard could be severely limited by the patient's condition, his financial situation, or a categorical refusal to undergo an examination.

Special forms of chronic gastritis

In the international classification of diseases, other forms of a chronic inflammatory process in the stomach can be coded. According to the current classification, they can act as syndromic conditions in other more general diseases. Usually these varieties of gastritis are coded in other subheadings and are related in meaning to the underlying disease that caused their development.

As special forms of inflammation, it is customary to consider the following nosological units:

Atrophic-hyperplastic form of gastritis is also called warty or polyposis. This disease can be qualified in other sections of the ICD 10. In particular, the polyposis form of inflammation can be considered under the code K 31.7 and considered as a gastric polyp. In addition to the rubric denoting diseases of the digestive system and encoded by the Latin "K", this form is considered in the neoplasms section as a diagnosis of "Benign neoplasms of the stomach" and has the code D13.1.
Hypertrophic or giant hypertrophic, also called Menetrier's disease. This disease manifests itself in severe hypertrophy of the folds of the gastric mucosa. Its etiology is currently unknown. In the international classification, it has the coding K 29.6.
The same coding has a diagnosis of lymphocytic gastritis, which is inherent in patients with celiac disease and is characterized by the accumulation of a large number of lymphocytes in the thickness of the mucosa.
The granulomatous variant may be a manifestation of a number of other complex genetically determined and autoimmune diseases. In particular, it can be Crohn's disease, which is also classified as K50, "Sarcoidosis of other specified and combined localizations" - D86.8, Wegener's sarcoidosis, which has the code M 31.3.
The eosinophilic variant is one of the manifestations of the allergic process and is characterized by eosinophilic infiltration of the gastric mucosa and the development of an inflammatory process. May be coded as "Allergic and alimentary gastroenteritis and colitis" - K52.2.
Radiation gastritis and gastroenteritis can be coded in ICD 10 code K 52.0.
Some species can accompany a number of infectious diseases - cytomegalovirus infection, secondary syphilitic infection, candidiasis, tuberculosis and are coded in the "infectious diseases" section.

In this case, the ICD-10 code is assigned for the underlying disease that caused the inflammatory process in the gastric mucosa.

Other classifications

In addition to the international classification of diseases ICD 10, there are a number of other classifications that are widely used throughout the world. They are sometimes more convenient for clinical use than ICD-10, which is primarily aimed at statistical accounting.

For example, in the 1990s, the Sydney Classification was developed. It includes two criteria by which all diseases are subdivided. The histological section includes etiological factors, morphology and topographic criteria. According to this classification, all chronic inflammatory processes in the stomach can be divided into Helicobacter pylori, autoimmune, reactive. Endoscopic classification considers the severity of mucosal edema and hyperemia of the walls of the stomach.

In recent years, a fundamentally new gradation of all inflammatory processes of the stomach has been developed. The division of all pathological conditions is made taking into account the severity of morphological changes. Its advantages include the fact that it becomes possible to determine the extent of the spread of the pathological process and determine the severity of atrophy based on the results of the therapy.

gastrotract.ru

Classification of gastritis according to ICD 10

All diseases are collected and classified according to codes in the ICD (International Classification of Diseases).

Gastritis according to ICD 10 has code 29, and its varieties are indicated using additional numbers:

acute hemorrhagic form - K 29.0;
acute form of other gastritis - K 29.1;
alcoholic form - K 29.2;
chronic form of superficial gastritis - K 29.3;
chronic form of atrophic gastritis - K 29.4;
chronic form of antral and fundal gastritis - K 29.5;
other chronic forms - K 29.6;
unspecified gastritis - K 29.7.

In accordance with the classification, acute gastritis has a code in ICD 10 - K 29.0 and K 29.1 and is divided into:

hemorrhagic (K 29.0);
alcoholic (K 29.2);
hypertrophic and granulomatous (K 29.6);
unspecified (29.7).

Each type has its own symptoms and treatment options. The causes of all types of acute form are similar.

Reasons for the development of an acute form

There are many reasons for inflammation of the epithelium of the gastric mucosa:

violation of the diet and diet;
food allergy;
abuse of strong instant coffee, alcohol and carbonated drinks;
the use of products containing chemicals and dyes;
long-term drug therapy and drug overdose;
oncology of the digestive system, trauma and surgery;
infectious diseases of the digestive system;
metabolic disorders;
elevated radioactive background.

The disease often occurs due to food "on the go" or poor chewing of food.

Symptoms of inflammation of the stomach depend on the type of disease. The first sign of an erosive appearance is nausea, stomach pain, and internal bleeding. There are times when other signs are absent, and one bleeding is detected. In this case, the disease is classified as acute hemorrhagic gastritis, ICD code 10 - K 29.0.

The catarrhal form of the disease usually develops against the background of emotional stress, eating disorders, overeating or prolonged starvation. This is the simplest form of inflammation of the stomach, otherwise called acute alimentary gastritis and has an ICD code 10 K 29.1. Treatment is carried out with medicines, you can also use traditional medicine.

The ulcerative appearance is directly related to functional disorders of the stomach, often manifested by bleeding, and can provoke the development of a perforated stomach ulcer. The cause can be infectious bacterial diseases: diphtheria, pneumonia, hepatitis, typhoid.

The antral type of inflammation differs from other forms in the increased acidity of the gastric secretion. The cause may be a bacterial infection, the main symptom is heartburn. It is with antral gastritis that gastric reflux can develop with the reflux of gastric secretions into the esophagus.

An attack of an acute form of the disease is not difficult to determine, the symptoms are pronounced:

flatulence with impaired stool;
sour heartburn and belching;
severe pain in the epigastric region;
nausea and vomiting that does not bring relief;
the temperature can rise up to 390C;
a gray coating appears on the tongue.

Usually an attack develops 4 to 5 hours after the irritating factor.

Classification of the chronic form

This disease is also classified according to international standards. The ICD 10 code for chronic gastritis has several classes:

chronic superficial gastritis - K 29.3;
chronic atrophic form - K 29.4;
chronic antral and fundamental gastritis - K 29.5;
rare chronic species - K 29.6;
other unspecified forms - K 29.7;
duodenitis - K 29.8;
gastroduodenitis - K 29.9.

Symptoms of chronic gastritis

The chronic form of the disease is the most common, the symptoms are usually poorly expressed, the disease can progress for years. As a result, without treatment, the disease can turn into more serious pathologies or provoke complications.

Superficial gastritis is the most harmless, with it only the upper layer of the mucous membrane of the stomach walls is affected. According to ICD 10, the chronic form is also indicated in the class of infectious diseases of the digestive system and in the class of oncological, as well as autoimmune diseases.

Pain and discomfort in the upper abdomen is the most characteristic symptom of a chronic form of inflammation of the stomach. Usually the pain is aching in nature, localized in the upper part of the epigastric zone. Poor nutrition, poor-quality food poisoning, constant overeating or long fasting can provoke pain.

If the disease is associated with a person's malnutrition, the chronic form usually worsens in spring or autumn.

If these exacerbations pass without appropriate treatment, a complication may develop in the form of erosive gastritis, from which it is not far from peptic ulcer.

Features of the chronic form

The chronic form of atrophic gastritis is an independent disease with a specific clinic:

always low acidity;
the walls of the stomach become thinner and stretched;
degeneration of glandular cells develops;
epithelium thickens;
folds in the gastric mucosa are smoothed out.

Unspecified gastritis according to ICD 10 code K 29.7. This code is usually used if only gastritis is entered in the diagnosis without additional clarifications.

Special forms are:

The atrophic appearance can also have other names and be classified according to ICD 10 as K 31.7 - gastric polyps or D 13.1 - benign neoplasms of the stomach.
Menetrier's disease - hypertrophic gastritis, classified according to ICD 10 as K 29.6, is characterized by hypertrophy of the folds of the epithelium of the gastric mucosa.
Lymphocytic gastritis is also encoded, the hallmark of which is the accumulation of lymphocytes in the epithelium of the mucous membrane.

Some forms and types of inflammation of the stomach can occur against the background of infectious diseases, in which case they will be classified according to the section on infectious diseases.

ogastrite.ru

Chronic gastritis: deciphering the codes for microbial 10

What is ICD and gastritis code?

The number 10 indicates the frequency with which statistical information was collected, that is, these data were obtained over a period of 10 years.

As for the following combination K29.1-9, it indicates the type of chronic pathology of the stomach.

The main types of chronic gastritis according to ICD 10

Acute hemorrhagic (erosive) Code 29.0

Other types of gastritis (acute type) Code 29.1

This type of pathology is caused as a result of a short action of an aggressive environment, which can be poor-quality food, drugs, etc.

Depending on the type of damage to the mucosa, as well as the characteristics of the clinical signs of gastritis, there are:

catarrhal;
fibrinous;
corrosive;
phlegmonous.

Alcohol Code 29.2

In this case, the blood circulation process is completely disrupted, the production of protective mucus is inhibited, which prevents the restoration of cells of the gastric mucosa.

Superficial chronic Code 29.3

Chronic atrophic Code 29.4

Unspecified chronic Code 29.5

According to the ICD 10 classification, this type of gastritis has two forms:

Acute antral gastritis most often occurs as a result of food intoxication, gross malnutrition and food or drug allergies.

Other chronic types Code 29.6

In addition to the above forms, chronic gastritis can be:

hypertonic;
granulomatous giant,
Menetrier's disease.

Also, this list of gastric pathologies includes unspecified gastritis under the code 29.7. This disease is characterized by an unclear localization of the inflammatory site.

It's important to know

lechigastritis.ru

Classification of gastritis - ICD-10 code, Sydney, OLGA

Published: June 26, 2015 at 11:35

To begin with, we note that the ICD-10 is an international classification of diseases. In particular, it defines a rubric system that includes individual pathological conditions according to certain established criteria.

Currently, the ICD-10 groups the conditions into groups to ensure its maximum acceptability during use for general epidemiological purposes. In addition, the states are pooled to assess the quality of health care.

Duodenitis and gastritis in this classification is under the diagnosis code 29 or simply K29. Here are the main codes for the diagnosis of most types of gastritis in the ICD-10:

ICD-10 code 29.0 - Acute hemorrhagic;
K29.1 - Other types of gastritis (acute);
K29.2 - Alcoholic;
K29.3 - Superficial chronic;
K29.4 - Chronic atrophic (atrophy of the gastric mucosa occurs);
K29.5 - Unspecified chronic (fundal, antral);
K29.6 - Other chronic types (hypertensive, giant granulomatous, Menetrier's disease);
K29.7 - Unspecified gastritis;
K29.8 - Duodenitis;
K29.9 - Unspecified gastroduodenitis.

In addition to ICD-10, several more classifications of gastritis can be distinguished. Consider the two most modern of them.

It was created in the 1990s with the participation of gastroenterologists, pathologists, microbiologists, histopathologists and immunologists. The Sydney classification is itself subdivided into two sections:

Histological. Consists of etiology, morphology and topography. According to the etiology, such forms of protracted gastritis as autoimmune, Helicobacter pylori, reactive and special forms of the disease are distinguished. According to the typography of the inflammatory process in the stomach itself, such types as pangastritis, a disease of the body of the stomach and antrum are distinguished. Regarding the morphological part of the diagnosis, we can say that it is always associated with specific parts of the stomach. There are three main types of morphological changes, which include chronic, acute gastritis, as well as special forms of the disease.
Endoscopic. This section is characterized by edema and severe hyperemia of the gastric mucosa. In addition, there are erosions and hemorrhages, hyperplasia of the folds.

Classification of gastritis OLGA

This is a completely new system that was proposed by an expert panel of renowned pathologists and several gastroenterologist-clinicians in 2008. The OLGA classification of gastritis uses an assessment of the histological severity of necrosis of the mucous membrane, inflammation in the body of the stomach, as well as in the antrum, with further determination of the stage and degree of chronic gastritis.

Note that the OLGA system has two big advantages:

determination of the stage of atrophy, which allows to objectively determine the presence and severity of the spread of the degree of inflammation;
determination of the stage of atrophy according to the results of treatment.

The diagnosis of gastroduodenitis is made in the presence of inflammatory processes in the inner lining of the duodenum and the pyloric part of the stomach. Previously, this disease and its types did not have its own group in the classification of diseases of the international level (ICD), giving way to two separate diseases - gastritis (K29.3) and duodenitis (K29).

Today, a common combination of two pathologies has its own code in ICD 10 - 29.9 and is referred to as "gastroduodenitis, unspecified." Let's understand the concept of gastroduodenitis code according to the ICD revision No. 10.

Combining two pathologies into a single combination

The combination of two independent diseases is justifiably combined into a single pathology due to the presence of common pathogenetic mechanisms:

Both diseases develop against the background of changes in the level of acidity.
The main impetus for the appearance of inflammatory processes is the decrease in the totality of the protective systems of the human body.
Both diseases have other identical causes of inflammation.

Duodenitis rarely occurs as an independent symptomatic disease. Often, both diseases are closely related to each other - duodenitis is a consequence of chronic gastritis in a patient, or vice versa.

Therefore, during the 10th revision of the ICD, it was decided to create a separate code - K29.9, referring to the grouping K20 - K31 (diseases of the esophagus, stomach and duodenum).

Classification of gastroduodenitis

Pathological processes occurring in the stomach are interconnected with the processes of the duodenum, due to which the pathologies of these organs are often considered as a single disease.

Gastroduodenitis is classified according to various factors and happens:

Primary and secondary pathology, taking into account the causes and conditions of the origin of the disease.
widespread and localized.
With reduced, within normal limits or increased acidity, based on the level of secretion produced by the stomach.
The disease can have mild, moderate and severe inflammatory processes, as well as swelling and redness of the affected organ, with atrophy and metaplasia of the stomach.
The symptomatology of the disease divides it into 3 phases - exacerbation, partial or complete remission.
When examining a patient with an endoscope, it is possible to identify the main types of the disease, on which the subsequent treatment scheme will depend. There are 4 types in total - superficial gastroduodenitis, erosive, with atrophy and hyperplasia of organs.

Forms of gastroduodenitis

There are a number of causes of diseases of the stomach and 12 duodenal ulcers. This may be improper and malnutrition, experienced stressful situations, constant stay in nervous excitement, causing exhaustion, as well as past diseases of the gastrointestinal tract, which affected the protective functions of the body. It is impossible to accurately diagnose at home; this requires an examination by a qualified gastroenterologist and a series of examinations.

Gastroduodenitis is divided into 2 forms:

Acute.
Chronic.

Acute gastroduodenitis

Acute gastroduodenitis according to ICD 10 can occur for a number of reasons: unbalanced, malnutrition, nervous strain, past infectious diseases, including pathologies of the liver, gallbladder and pancreas, hereditary predisposition.

Symptoms in acute form of gastroduodenitis:

The presence of acute chaotic pain in the region of the stomach and upper abdomen.
Feeling unwell, apathy, feeling tired. Dizziness.
Nausea, the presence of vomiting and other dyspeptic disorders (heartburn, bad taste in the mouth, bad breath, belching, etc.).

Inflammatory processes occurring in the stomach and duodenum eventually lead to impaired motor functions and normal functionality of the organs, so it is important to identify the disease in time. The symptomatology of acute gastroduodenitis is suitable for a number of other diseases of the digestive system, so you should not self-diagnose. It is necessary to consult a doctor in time and start treatment so that the acute form does not develop into a chronic one.

Chronic gastroduodenitis

Chronic gastroduodenitis according to ICD 10 is an aggravated and more serious disease that occurs and is provoked by a variety of pathogens and infections that enter the patient's body.

The chronic form is divided into two stages - seasonal exacerbations, which are seen in the spring and autumn periods and are caused by a decrease in the protective functions of the body due to climate change, violations of the diet and diet, the presence of viruses and infections in the air. And the period of the course of the disease with a noticeable weakening or complete disappearance of symptoms.

Symptoms in the chronic form of gastroduodenitis:

Usually, during an exacerbation, the patient experiences acute cramping pain in the abdomen in the region of the stomach. Spontaneous and chaotic pains disappear on their own after 10 days, and pains with physical palpation of the patient disappear after 21 days (approximately 3 weeks).
General weakness, lethargy, dizziness and headaches, drowsiness or sleep disturbances, rarely fainting.
Paleness of the skin, caused by a lack of a complex of vitamins in the blood.
Feeling of nausea, gag reflexes and other dyspeptic disorders.
Sensation of full stomach. Constipation or diarrhea may occur.

As in the case of acute gastroduodenitis, the chronic form cannot be determined without examination in the hospital. In addition to an external examination and listening to complaints about the patient's state of health, the doctor must prescribe a series of examinations to identify the clinical picture.

Among the examinations of gastroduodenitis, there are x-rays, excision of a piece of organ tissue for diagnostics (a biopsy will help to identify the presence or absence of atrophy), examination of gastric juice and other endoscopic examinations, ultrasound, PH-metry. Indications of surveys will help the gastroenterologist to identify the disease, determine the form and stage of the course of the pathology. Only after accurately establishing the type and stage of the disease, the doctor will be able to prescribe a qualified treatment, the main thing is to seek help when the first symptoms are detected.

When interacting with certain extraneous factors, a person can develop diseases of the gastrointestinal tract. Violations are accompanied by a number of unpleasant symptoms. There is a need for medical treatment. At an advanced stage, surgery will be required. Gastritis is an inflammatory process in the stomach. The disease can provoke the development of complications. In severe cases, death is possible. When visiting a gastroenterologist, the patient is given an appointment for tests and studies. Patients often do not know how to decipher the result. Each pathology, including gastritis, has a specific coding according to the International Classification of Diseases (ICD).

Gastritis can develop in various forms and differ in types of inflammation.

general information

Few people know for sure what gastritis is and what its ICD-10 code is. The disease is considered quite common and often diagnosed in patients. It is characterized by the development of the inflammatory process. Accompanied by severe symptoms at an advanced stage.

ICD stands for International Classification of Diseases. The number 10 indicates the period of time for which the statistics were collected.

Patients often do not understand the special coding. Doctors, in turn, know exactly what disease is present in a particular patient, paying attention to the character set in the medical record.

Gastritis is provoked by both internal and external factors. Pathology is chronic and acute. The root causes of the development of the violation are reflected in the table.

According to the ICD (for 10 years), gastritis has the code K29. It is divided into several subgroups depending on the variety. Knowing the decoding of the symbols, you can easily understand what diagnosis is established.

Most often, gastritis provokes Helicobacter pylori infection. To confirm the underlying cause, doctors take a damaged area of \u200b\u200bthe stomach for examination. The patient is prescribed antibiotics. Treatment of pathology is complex. Therapy involves taking medications, using non-traditional methods, and following a strict diet. Additional drugs may be recommended to relieve symptoms.

The inflammatory process disrupts the mucous membrane at the cellular level. The receptors die. The advanced stage of pathology leads to the formation of malignant neoplasms. The risk of stomach ulcers is high. The patient's appetite rapidly decreases. As a result, the patient begins to lose weight for no reason. Deteriorating appearance and well-being.

People with a genetic predisposition are more likely to develop gastritis

Types of chronic inflammation according to the ICD

Acute and protracted process have many varieties. All types are reflected in the International Classification of Diseases. K29 includes:

acute hemorrhagic gastritis;
chronic superficial;
protracted with atrophy;
prolonged, unspecified;
alcoholic;
other forms of gastritis;

All types of pathology are very similar. Despite this, each of them has its own characteristics and approach to treatment. It is impossible to independently establish a diagnosis and choose an adequate therapy.

The patient should seek help from a medical facility. This will reduce the risk of complications.

Determine the type of disease should be a qualified specialist

Hemorrhagic type

Also referred to as erosive gastritis - classified as K29.0. With a disease in the stomach, an inflammatory process occurs. It occurs against the background of microcirculatory abnormalities. Pathology provokes internal bleeding. It is considered one of the most dangerous forms of violation.

With an erosive type of gastritis, there is a risk of blood clots. Ulcers and erosions are observed on the surface of the mucous membrane. Damage can be either single or multiple. Possible renal failure. The form of the disease needs immediate medical treatment.

Other types of acute gastritis

Classification K29.1 includes all other pronounced forms of stomach disease. A relapse of the condition can be triggered by the use of low-quality foods and alcohols. The symptoms are pronounced. K29.1 includes gastritis:

catarrhal;
corrosive;
phlegmonous;
fibrinous.

Often, gastritis develops due to dietary errors.

Pathology of the alcoholic type

Doctors say that this form of the disease (K29.2) does not occur against the background of the inflammatory process. It is manifested due to prolonged use of alcohol-containing drugs. Treatment will be successful only with the complete rejection of alcohol.

Even a small dose of ethyl alcohol that has entered the body will provoke an exacerbation.

The patient may complain of a range of symptoms after drinking alcohol:

nausea and vomiting;
pain syndrome in the stomach;
dizziness;
fainting state;
diarrhea.

The cause of alcoholic gastritis is the abuse of alcohol.

Superficial and atrophic process

This form of pathology of the chronic type is present in the International classification under the code K29.3. The disease does not provoke significant changes in the stomach. It flows easily. Does not cause significant discomfort. If left untreated, it leads to complications. With this pathology, the following symptoms are noted:

pain in the upper part of the stomach;
heartburn;
nausea, belching.

The disease can turn into an erosive form when treatment is difficult.

The atrophic type of gastritis is classified by the ICD as K29.4. Pathology proceeds for a long time and constantly progresses. The patient feels a decrease in efficiency and complains of dizziness. Anemia may develop.

With a mild form of gastritis, nausea and belching may appear.

Gastritis, unspecified and other forms

This disease is included in K29.5. It occurs against the background of excessive secretion. The inflammatory process affects certain areas of the stomach. Depending on their position, the pathology can be:

The pain has a clear localization. It occurs after eating.

K29.6 includes other chronic forms of the disease, including the alimentary type. All types in the absence of therapy provoke the development of complications. Diagnosis must be carried out immediately. Treatment takes place only under medical supervision.

K29.7 includes gastritis, in which it is impossible to accurately determine the localization of the lesion. The patient needs a number of tests and studies.

Additionally, gastritis will be discussed in the video:

peptic.ru

Acute gastritis, ICD code 10

Published: June 15, 2015 at 11:35

To date, it is known that the most significant cause of the development of acute gastritis is the irritating effect of various pathogenic factors. Among the irritating factors, one can distinguish abundant, spicy, excessively cold or hot food, the use of alcoholic beverages, the use of drugs (sulfonamides, corticosteroids, digitalis, NSAIDs, etc.), microorganisms (Helicobacter pylori, staphylococcus aureus), stress reactions, radiation exposure, various types of food allergies, autoimmune diseases, pernicious anemia (B12 deficiency).

According to the prevalence, acute gastritis, according to the ICD with change code 10, is divided into diffuse gastritis, when the process affects the entire stomach, or focal, when some of its departments are involved in the process. In turn, in the structure of focal gastritis, pyloroduodenal, pyloroanthral, antral and fundal gastritis are distinguished.

Based on the morphological changes in the lining of the stomach, several forms of acute gastritis can be distinguished, according to the ICD with revision code 10: catarrhal (simple); fibrinous; purulent (phlegmonous); necrotic, most often developing when aggressive chemicals enter the stomach (NaOH, h3SO4, etc.).

The morphology of the gastric mucosa in catarrhal (simple) gastritis refers to the ICD, with revision code 10, to heading 29.0. It has characteristics: the mucous layer is thickened and edematous, hyperemic (overflowing with blood), abundantly covered with mucous masses, with a large number of petechial hemorrhages (small hemorrhagic spots), erosion. Most often, this form of acute gastritis ends with complete regeneration of the gastric mucosa, according to the ICD code 10.

Morphology of fibrinous gastritis: the formation of a fibrinous film on the surface of the thickened mucosa. The depth of mucosal necrosis may vary according to the ICD. Based on this, this form is differentiated into croupous (insignificant depth of necrosis) and diphtheritic (great depth of necrosis) types of fibrinous.

Morphology of purulent (phlegmonous) gastritis: mucosal folds become coarse, with multiple hemorrhages, fibrinous-purulent films, the stomach wall contains leukocyte (purulent) infiltrate. With this type of acute gastritis, according to the ICD with revision code 10, such a severe complication as peritonitis often develops.

In the case of necrotizing (corrosive) gastritis, necrosis may involve the superficial and/or deep layers of the gastric mucosa. According to the type of necrotic changes, it is divided into coagulation (dry) or coagulation (wet). This acute form, listed in ICD-10, section 29.1, usually leads to the formation of erosive changes and acute ulcers (the outcome may be phlegmon and gastric perforation). The consequence of massive necrosis characteristic of phlegmonous and corrosive forms of acute gastritis (according to the ICD code 10, heading K29.1) is atrophy of the mucosa and sclerosis of the gastric wall (gastric cirrhosis).

The clinic of the acute form, according to the ICD, is diverse and largely depends on the degree and duration of the irritating factor. In some cases, weakness, an unpleasant taste in the mouth, heaviness, pain in the epigastric region, dizziness, belching, nausea and vomiting gradually develop 3-6 or 12 hours after the diet is broken. The tongue is coated, the abdomen is moderately swollen. Palpation of the epigastric region is painful. The patient is usually thirsty, subfebrile (subfebrile fever lasting more than 2 weeks) is noted. Also, for acute gastritis, indicated in the ICD with code 10, hypersecretion, increased acidity of gastric contents (possibly the opposite phenomenon - hypoacidity) and a violation of the motor function of the stomach (pylorospasm) are characteristic. In some cases, vomiting contributes to blood thickening (increase in the concentration of hemoglobin (HGB) and erythrocytes (RBC). Sometimes moderate neutrophilia (increase in the concentration of neutrophilic leukocytes), leukocytosis and acceleration of ESR (erythrocyte sedimentation rate) are recorded.

General blood test: most often without deviations from the norm

Coprogram: occult blood in gastric bleeding (in the Gregersen reaction), with low acidity, particles of undigested food can be detected.

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Alcoholic gastritis is inflammation of the stomach lining due to the effects of alcohol. Treatment of alcoholic gastritis involves the rejection of alcoholic beverages as the main irritating factor and the cause of the development of the disease. But since almost no one wants to completely give up alcohol, you need to figure out which drinks you can drink with gastritis, and which alcohol is better to completely refuse.

Important: Do not confuse the alcoholic form of the disease, which is the mucous membrane burned and inflamed due to alcohol, with the bacterial form of ordinary gastritis. In chronic gastritis of the stomach, you can drink other alcoholic beverages and in a different amount.

Symptoms of the disease

Symptoms of alcoholic gastritis

Forms and development of the disease

The process and order of treatment

What kind of alcohol can you drink?

ICD 10 - Alcoholic gastritis

Codes K29 according to ICD-10

Symptoms of alcoholic gastritis

The main symptom is systematic abdominal pain that occurs after taking strong alcoholic drinks or irritating foods (spicy, fried, salty). About 20 percent of the alcohol contained in an alcoholic drink is absorbed in the human stomach, and the rest goes further into the intestines.

Since the maximum concentration of alcohol enters the stomach, its mucous membrane receives a kind of burn. Burns turn into an inflammatory process, as the body will try to heal the damage. The systematic use of alcohol causes inflamed places to get burned over and over again, daily or almost daily. The disease passes into the chronic stage - alcoholic gastritis.

List of symptoms

Sensation of rapid filling of the stomach.
Frequent feeling of thirst.
Problems with constipation that were not there before (constipation is more common than diarrhea after alcohol).
Permanent or temporary pain in the abdomen, which is predominantly aching in nature. A characteristic feature - the pain may increase during or after eating, with the use of carbonated drinks and any food that irritates the mucous membrane.
Vomiting and belching. These symptoms can be quite strong and unexpected and bring a lot of discomfort. This clearly indicates that the inside of the stomach and / or esophagus is severely damaged and cannot function normally.
Frequent nausea and discomfort throughout the abdomen. Typically, sensations appear or intensify in the morning.
Vomiting, which can follow with varying frequency and contain impurities of mucus and bile.
Heartburn, uncomfortable with strong burning behind the sternum.

As statistics show, up to 95% of all people who abuse alcohol suffer from alcoholic gastritis in one form or another.

Forms and development of the disease

Gastritis can occur in one of two forms: acute and chronic. Based on the symptoms, characteristics of the course of the disease and other factors, the form of the disease is determined and appropriate treatment is prescribed.

Acute alcoholic gastritis occurs when a person drinks a huge amount of alcohol at a time. The stomach receives serious damage, uncontrolled vomiting is possible. Due to severe erosion and inflammation of the stomach, blood impurities in the vomit are possible. In a bad case, severe alcohol poisoning, along with bleeding in the stomach, may require emergency hospitalization.

With the systematic regular use of alcohol in relatively small quantities, the acute form of the disease may not manifest itself, and chronic alcoholic gastritis develops. If a person drinks 55-60 grams of ethanol daily (in terms of the strength of drinks in pure alcohol), this increases the risk of acute alcohol poisoning by three times. It is impossible to accurately predict how the next time the inflamed mucosa will react to its one dose of alcohol. The stronger the drinks, the stronger the negative effect on the mucous membrane. In addition, alcohol causes stomach cramps, which causes the alcohol to stay in the stomach longer without passing any further. This causes additional damage to the walls of the stomach, leading to increased inflammation and faster intoxication.

Alcohol abuse is dangerous due to the death of cells and the death of glands in the gastrointestinal tract, followed by the extinction of functions. The process of reproduction of gastric juice, secretion and some necessary fluids is disrupted. Very often, gastritis does not come alone, but along with inflammation of the duodenum. In this case, a diagnosis of gastroduodenitis is made. If left untreated, the disease will develop further and can lead to serious complications such as ulcers.

Treatment of alcoholic gastritis

It is possible to cure alcoholic gastritis at the age of 50 with a positive prognosis for the future. The cells of the stomach recover quickly, in the absence of irritants and proper nutrition and treatment, recovery from gastritis is a matter of time. For maximum effect for the duration of treatment, it is desirable to give up not only alcohol, but also tobacco smoking.

Diagnosis of the disease, determination of the state and form of the disease and the appointment of treatment occurs after the delivery of tests and endoscopic examination. Gastroscopy is a guaranteed way to diagnose gastritis and other stomach diseases.

In an alcoholic, under the influence of alcohol, all of these symptoms of the disease may decrease or disappear. Since alcohol temporarily suppresses unpleasant symptoms, it becomes even more difficult to persuade a drinker to stop drinking. In a sober patient, alcohol will cause the opposite effect - the appearance of unpleasant sensations and an increase in the symptoms of the disease.

In any case, the treatment of gastritis is based on several settings:

Compliance with a strict diet, competent and healthy nutrition. It is advisable to eat home-cooked foods, without fried and fatty foods.
Giving up alcohol and smoking is a serious step, but it can speed up the recovery of the stomach after an illness several times.
Both diet and drug treatment should be systematic and long enough. It may take many months to completely restore the tissues of the stomach and all their functions, depending on the condition of the patient at the time of the start of treatment.

You should not engage in self-medication - a gastroenterologist is in charge of prescribing all medications, which you can get to in the direction of a therapist. Observation by a gastroenterologist is necessary during the entire period of treatment and recovery.

What alcoholic drinks can be drunk with gastritis?

Alcohol with gastritis is generally contraindicated and you can not drink it. However, such serious holidays as birthdays are rarely complete without a wide range of alcoholic drinks. Among them should be those that you can drink with gastritis during remission, without fear of too serious consequences.

Unfiltered beer. We are talking about fresh beer that does not contain preservatives. Even in stores of various drinks, such beer is almost impossible to find. But in beer bars and restaurants you can order fatty unfiltered beer. One cup of such a drink should pass without any tangible harm to health. Increasing the dosage is at the patient's risk.
High quality spirits. High-quality strong alcohol like cognac and vodka will not cause much damage during the remission of gastritis. Again, the amount of alcohol more than one or two shots leads to intoxication and all other consequences of alcohol poisoning, and there is no need to talk about the absence of harm to health.
Dry red wine. In addition to alcohol, it contains antioxidants and other beneficial substances. Therefore, 150-200 grams of wine will, rather, only benefit the body. If you start drinking bottled wine, the harm, of course, will be more good.

Remember that alcohol should not be consumed on an empty stomach. You will also have to re-read the instructions for the drugs used for their compatibility with alcohol. If you experience discomfort after drinking alcohol, you should not take the usual analgesics in order to prevent a double load on the liver.

ICD 10 - Alcoholic gastritis (K29.2)

In the International Classification of Diseases, alcoholic gastritis has the code K29.2. The upper section of K29 is called "Gastritis and duodenitis" and contains the corresponding diagnoses minus gastroenteritis and eosinophilic gastritis.

Codes K29 in the international classification of diseases ICD-10

K29.0 Acute hemorrhagic gastritis
K29.1 Other acute gastritis
K29.2 Alcoholic gastritis
K29.3 Chronic superficial gastritis
K29.4 Chronic atrophic gastritis

Mucosal atrophy

K29.5 Chronic gastritis, unspecified

Chronic gastritis: . antral. fundamental

K29.6 Other gastritis

Giant hypertrophic gastritis Granulomatous gastritis Menetrier's disease

K29.7 Gastritis, unspecified
K29.8 Duodenitis
K29.9 Gastroduodenitis, unspecified

In the system of statistical accounting of all nosological units, the chronic gastritis code according to ICD 10 is of great importance.

This classification, which is reviewed every 10 years with the introduction of certain additions, allows the following actions on a global and local scale:

Thanks to the international classification of diseases, doctors around the world can use the same data and share their own.

What is chronic gastritis

Acute gastritis in ICD is an inflammatory process involving the gastric mucosa, indigestion, and damage to important layers of the gastric wall.

However, gastritis most often has a chronic course with exacerbations. Moreover, according to theories about the pathogenesis of the disease, inflammation immediately has a long-term character, which makes it possible to single it out as a separate nosology even in the ICD. There are three main types of inflammatory process: A, B and C. The clinical picture in morphological forms will be the same, but the treatment will be radically different.

Gastritis often occurs in combination with a pathology such as duodenitis, that is, inflammation of the duodenum. Even in the ICD, these pathologies are in the same section next to each other. Combined inflammatory process is isolated as a separate pathology- gastroduodenitis. The code for chronic gastroduodenitis according to ICD 10 is represented by the following symbols: K29.9, which is one of the points in the extensive section on inflammation of the stomach.

The position of the disease in the ICD system

Diseases in the international classification of diseases in most cases are divided into sub-items according to etiology.

Thanks to this coding, it is possible to develop and use the latest types of treatment for pathology.

For example, different types of gastritis require fundamentally different therapy. If the patient has a significant increase in secretion, then proton pump inhibitors have to be used. If the acidity is reduced, then the use of these drugs is unacceptable.

The first division in the ICD is in accordance with the defeat system. Gastritis belongs to the class of diseases of the digestive system. The gastritis code in ICD 10 is presented as follows: K29. However, this section has 9 more subparagraphs, each of which is a separate nosological unit.

That is, K29 indicates that the patient has gastritis or duodenitis, but this is not enough to make a correct, complete diagnosis. The doctor finds out the etiology and understands the pathogenesis of the disease as much as possible, after which the final coding is carried out.

Variants of the location of inflammation of the stomach in the ICD system:

K29.0 - is an acute inflammatory process with the obligatory presence of bleeding (in its absence, code K25 is set, that is, ordinary erosion);
K29.1 - this is how any gastritis of an acute course is coded, except for the above;
K29.2 - inflammation of the stomach caused by alcohol is separately distinguished;
K29.3 - in ICD 10, erosive gastritis or superficial chronic course is coded as follows;
K29.4 - this is how chronic inflammation of an atrophic nature is recorded;
K29.5 - represents a whole group of chronic nosologies, when it is not possible to clarify the etiology or type;
K29.6 - this includes a giant hypertrophic inflammatory process or a granulomatous lesion;
K29.7 - simply unspecified inflammation of the gastric membranes;
K29.8 - inflammation of the mucous membrane of the duodenum or duodenitis;
K29.9 - combined pathology in the form of gastroduodenitis.

In addition to the listed nosological units in the international classification of diseases of the 10th revision, there are two exceptions that are in the same class, but in other sections.

These include: eosinophilic gastroenteritis and Zollinger-Ellison disease. This disease refers to the pathologies of the pancreas and is an oncological process.

However, due to the specific damage to the cells of the organ, there is an increased production of gastrin, which enhances the secretion of hydrochloric acid by the stomach. Thus, the patient has all the signs of gastritis, but the etiology of the clinical picture has nothing to do with the stomach.