Reactive gastropathy, chemical gastropathy also called gastritis of « C type » or "chemical gastritis" is an abnormality in the stomach caused by chemicals, e.g. bile, alcohol, and characteristically has minimal inflammation.
Cause Reactive gastropathy has a large number of causes, including:
Alcohol use disorder. Bile reflux, such as may be seen post-Billroth II. NSAIDs.
Diagnosis
The diagnosis is by examination of tissue, e.g. a stomach biopsy.
Relation to gastritis Reactive gastropathy is morphologically distinct entity that can be separated from gastritis, which by definition has a significant inflammatory component. As a reactive gastropathy may mimic a (true) gastritis symptomatically and visually in an endoscopic examination, it may incorrectly be referred to as a gastritis. Even aware of the underlying etiology of the pathologic process, e.g. NSAID use, the label "chemical gastritis" is applied to a chemical gastropathy.
See also Gastritis
References
External links
Reactive gastropathy - surgical pathology criteria (stanford.edu).


![Reactive gastropathy: Reactive gastropathy, is characterized histologically by:[2] - Foveolar hyperplasia (black arrow), as a tortuosity in the "neck" region of the gastric glands.- Scant or minimal inflammatory cells (white arrow), i.e. lack of large numbers of neutrophils and plasma cells..- Smooth muscle hyperplasia in the lamina propria (in black oval).](https://upload.wikimedia.org/wikipedia/commons/thumb/f/fa/Histopathology_of_reactive_gastropathy%2C_annotated.jpg/1280px-Histopathology_of_reactive_gastropathy%2C_annotated.jpg?utm_source=en.wikipedia.org&utm_campaign=parser&utm_content=thumbnail)


