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Achlorhydria

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: Gastric acidity reduced

Overview

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Achlorhydria and hypochlorhydria refer to states where the production of gastric acid in the stomach is absent or low, respectively. It is associated with various other medical problems.

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Achlorhydria overview from Other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Natural History

Complications

Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Prevention

References

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Historical Perspective

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Historical Perspective

References

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Classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Overview

Classification

References

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Pathophysiology

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Pathophysiology

References

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Causes

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2] Luke Rusowicz-Orazem, B.S.

Overview

Achlorhydria is caused by intrinsic and extrinsic changes in the gastrointestinal system, including uptake of antibodies and bacterial infection. Less commonly, it can be caused by cancer, a life-threatening cause requiring prompt diagnosis and treatment.

Causes[1]

Life Threatening Causes

Common Causes

Causes by Organ System

Cardiovascular No underlying causes
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect H2-receptor antagonists, Parietal cell antibodies, Proton pump inhibitors
Ear Nose Throat No underlying causes
Endocrine Mucolipidosis , Vipomas
Environmental No underlying causes
Gastroenterologic Atrophic gastritis, Gastric intrinsic factor antibodies, Menetrier disease, Somatostatinoma, Stomach cancer
Genetic No underlying causes
Hematologic Pernicious anemia
Iatrogenic Radiation therapy 
Infectious Disease Helicobacter pylori infection
Musculoskeletal/Orthopedic No underlying causes
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic Somatostatinoma, Stomach cancer, Vipomas
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte No underlying causes
Rheumatology/Immunology/Allergy Autoimmune disorders , Gastric intrinsic factor antibodies
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Miscellaneous No underlying causes

Causes in Alphabetical Order

References

  1. ↑ El-Omar EM, Oien K, El-Nujumi A; et al. (1997). “Helicobacter pylori infection and chronic gastric acid hyposecretion”. Gastroenterology. 113 (1): 15–24. PMID 9207257.

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Differentiating Achlorhydria from Other Diseases

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Differential Diagnosis

References

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Epidemiology and Demographics

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Epidemiology and Demographics

References

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Risk Factors

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Risk Factors

References

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Screening

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Screening

References

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Natural History, Complications and Prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Natural History

Complications

  • Achlorhydria may result in increased bacterial growth in the stomach and duodenum. This increases the risk of several infectious diseases such as salmonellosis, typhoid fever, shigellosis, and various parasitic infections.
  • Stomach acid is important in liberating minerals from food, thereby increasing the risk that individuals with hypochlorohydria or achlorhydria will develop calcium and zinc deficiencies.
  • Loss of acid production may also alter the rate or extent of drug absorption.
  • Atrophic gastritis, one of the complications of achlorhydria, has been considered to be a potential precursor to gastric carcinoma.

Prognosis

The outcome of achlorhydria depends on:

  • The underlying cause of achlorhydria: If achlorhydria results from cancer or a surgical procedure, the prognosis is more guarded.
  • The complications of achlorhydria: Atrophic gastritis, one of the complications of achlorhydria, has been considered to be a potential precursor to gastric carcinoma.

References

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Diagnosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case Studies

Case#1

Related Chapters

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