Include Olga standing and Sydney classification

1. Precented by : Dulsara Gunawardana 301A’
Chronic Gastritis
Definition of Chronic Gastritis
Etiology of Chronic Gastritis
Classification of Chronic Gastritis
OLGA staging of Chronic Gastritis
Sydney classification of Gastritis
Pathology of Chronic Gastritis
Clinic of Chronic Gastritis
Treatment of Chronic Gastritis

2. Definition of Chronic Gastritis
Chronic gastritis is a long-term condition in which the mucus of
the stomach,
is inflamed or irritated over a longer period of time.

3. Etiology of Chronic Gastritis
: long term use of medications such as aspirin
: excessive alcohol usage
: presences of H pylori bacteria
: Diabetic s
: kidney failure
: weakness of immune system
: bile reflux , mean excessive bile come to stomach
And also there are risk factors
Such as. : high fat diet
: high salt diet
:smoking

4. Classification of Chronic Gastritis
Chronic Gastritis classified according to 3 main variations
• 1. According to Etiologic features
• 2. According to Morphological features
• 3. According to Topographical features

5. According to Etiologic feature
1. Type A Gastritis - autoimmune system associated with severe atrophy
2. Type B Gastritis - helicobacter pylori associated gastritis
3. Reflex gastritis

6. According to morphological feature
1. Chronic superficial Gastritis (early stage)
2. Chronic atrophic Gastritis. (Later stage)

7. According to Topographical
features
1.Antral Grastritis
2.Fudal Gastritis
3 Pangastrits

8. OLGA staging of Chronic gastritis
O perative
L inked
G astritis
A ssesment
• It’s based on the evidence that the histologicalgastric atrophy. It’s correlateswith the
risk of Gastric cancer also

9. OLGA staging
chartOlga chart consists with scores, stages ,
and two topographical areas of stomach
Four variants of Scores : 0 , 1, 2 ,3
Four variants of Stages : 0 , l ,ll ,lll , lV
Two photgraphical areas : Antrum ,
Corpus

10. We give scores according to
Histology of Antrum area and
Hstolgy of Corus area
And finally put to astages

13. Sydney classification of
Chronic Gastritis

15. Pathogenesis of Chronic Gastritis

17. Clinic of chronic
Gastritis

18. Treatment for
chronic Gastritis

19. Thank you for your attention...,