Can fatty liver cause gastritis?

The question “Can fatty liver cause gastritis?” is a topic of interest in the medical community, connecting two common conditions: fatty liver disease and gastritis. This article explores the latest research and insights to understand the potential link between these two conditions.

Understanding Fatty Liver and Gastritis

Fatty Liver Disease: This condition involves the accumulation of fat in liver cells. It’s often associated with obesity, type 2 diabetes, and excessive alcohol consumption. There are two main types: alcoholic fatty liver disease (AFLD) and non-alcoholic fatty liver disease (NAFLD).

Gastritis: Gastritis is the inflammation of the stomach lining, which can be caused by various factors, including certain medications, excessive alcohol consumption, chronic stress, and bacterial infections like Helicobacter pylori.

The Potential Link Between Fatty Liver and Gastritis

  1. Research Findings: A 2014 study titled ‘Nonalcoholic fatty liver disease increases risk for gastroesophageal reflux symptoms’ found a positive association between NAFLD and gastroesophageal reflux symptoms, which are often related to gastritis (Times of India).
  2. Helicobacter pylori Infection: There is evidence suggesting that Helicobacter pylori infection, a common cause of gastritis, is linked with NAFLD. This connection is explored in various studies, indicating potential pathogenic mediators and mechanisms involved (PMC – NCBI).
  3. Autoimmune Gastritis and NAFLD: A study published in PMC – NCBI found that the prevalence of autoimmune gastritis was significantly higher in patients with nonalcoholic steatohepatitis (NASH), a severe form of NAFLD, compared to those with other chronic liver diseases (PMC – NCBI).

Exploring the Interconnection

  1. Lifestyle Factors: Both fatty liver and gastritis can be influenced by similar lifestyle factors, such as diet, alcohol consumption, and obesity. These overlapping factors might contribute to the co-occurrence of both conditions.
  2. Inflammatory Processes: Chronic inflammation is a key factor in both conditions. The systemic inflammation associated with fatty liver might exacerbate or contribute to the development of gastritis.
  3. Medication and Treatment Overlap: Treatments for conditions associated with fatty liver, such as diabetes or high cholesterol, might have side effects impacting the stomach lining, potentially leading to gastritis.


While current research suggests a potential link between fatty liver and gastritis, especially in the context of shared risk factors and systemic inflammation, it’s important to note that these are separate conditions. Further research is needed to fully understand the relationship between fatty liver and gastritis. Individuals experiencing symptoms of either condition should consult healthcare professionals for accurate diagnosis and treatment.


  1. Times of India – Digestive Problems Signaling Advanced Stages of Fatty Liver Disease
  2. PMC – NCBI – Helicobacter pylori Infection in NAFLD
  3. PMC – NCBI – Autoimmune Gastritis in Patients with NASH

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