PORTAL GASTROPATHY

Portal hypertensive gastropathy a clinically significant puzzle

In this review the updated information concerning the influence of portal hypertension on gastric mucosa is presented. The term portal hypertensive gastropathy [PHG] defines a wide spectrum of endoscopic lesions that appear in the gastric mucosa of cirrhotic patients and which should be differentiated from gastric antral vascular ectasia. These endoscopic findings correspond to dilated mucosal ...

Portacaval Shunt for Portal Hypertensive Gastropathy

(1995) Treatment of bleeding from portal hypertensive gastropathy by portacaval shunt. Portal hypertensive gastropathy is a vascular disorder of the gastric mucosa distinguished by ectasia of the mucosal capillaries and submucosal veins without inflammation. During 1988 to 1993, 12 patients with biopsyproven cirrhosis (10 alcoholic, 2 posthepatitic) were evaluated and treated prospectively by p...

Gastric lesions in portal hypertension: inflammatory gastritis or congestive gastropathy?

This paper reports the incidence and natural history of macroscopic gastritis in a series of 127 consecutive patients with portal hypertension of various aetiologies. Gastritis was observed endoscopically in 65 patients (51%) and was of two main types. Twenty eight patients had severe or persistent gastritis which caused clinically significant bleeding on 80 occasions and accounted for 25% of t...

Portal hypertensive gastropathy and gastric antral vascular ectasia (GAVE) syndrome.

Management of portal hypertensive gastropathy and other bleeding

A major cause of cirrhosis related morbidity and mortality is the development of variceal bleeding, a direct consequence of portal hypertension. Less common causes of gastrointestinal bleeding are peptic ulcers, malignancy, angiodysplasia, etc. Upper gastrointestinal bleeding has been classified according to the presence of a variceal or non-variceal bleeding. Although non-variceal gastrointest...