Endoscopic characterization of the small bowel in patients with portal hypertension evaluated by double balloon endoscopy.

Journal of Gastroenterology
Mayumi KodamaHirohito Tsubouchi

Abstract

The endoscopic abnormalities present in the small bowel (SB) of patients with portal hypertension (PH) are not well understood. This study sought to evaluate endoscopic findings of the SB in patients with PH by double balloon endoscopy (DBE). We evaluated the endoscopic findings of SB in 15 patients with PH and 49 controls without liver disease or PH. A total of 24 and 90 procedures were performed for PH patients and control patients, respectively, through oral and/or anal approaches. Fourteen of the 15 patients exhibited villous abnormalities, including edema (73%), atrophy (40%), and reddening (47%) of villi. Vascular lesions, such as angiodysplasia-like abnormalities (67%), dilated/proliferated vessels (93%), and varices (7%), were observed in all patients with PH. Although they were associated with ascites, these abnormalities did not correlate with any laboratory findings. None of these abnormalities was observed in controls. Definitive or suspected bleeding sources were identified in 9 of 13 patients with both PH and obscure gastrointestinal bleeding (OGIB), which was similar to the incidence in controls with OGIB. Although the frequency of postprocedure fever (>37.5 degrees C) was higher in patients with PH in comparison...Continue Reading

References

Apr 1, 1987·Digestive Diseases and Sciences·M S Cappell, J B Price
Jun 6, 2000·Nature·G IddanP Swain
Feb 15, 2001·Gastrointestinal Endoscopy·H YamamotoK Sugano
Feb 24, 2001·Journal of Hepatology·I CireraJ Rodés
Apr 22, 2003·Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie·Hironori Yamamoto, Kentaro Sugano
Jul 2, 2004·Gastrointestinal Endoscopy·Shou-jiang TangNorman E Marcon
Nov 20, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Hironori YamamotoKentaro Sugano
May 1, 1997·Clinics in Liver Disease·T K GuptaR J Groszmann
Mar 11, 2005·Journal of Clinical Gastroenterology·Roberto J Groszmann, Juan G Abraldes
May 27, 2005·World Journal of Gastroenterology : WJG·Keiichi ItoTakeshi Nakano
Sep 28, 2005·Gastrointestinal Endoscopy·Simona Di CaroUNKNOWN DBE-European Study Group
Mar 3, 2006·Journal of Gastroenterology and Hepatology·Surinder S RanaKusum Joshi
Apr 29, 2006·Gastrointestinal Endoscopy Clinics of North America·Emanuele RondonottiRoberto de Franchis
Jul 4, 2006·Gastrointestinal Endoscopy·Manuel Jimenez-SaenzJuan Manuel Herrerias-Gutierrez

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Citations

Dec 19, 2012·Digestive Diseases and Sciences·Taiki AoyamaKazuaki Chayama
Jul 29, 2010·Journal of Clinical Biochemistry and Nutrition·Usama M AbdelaalKazuhide Higuchi
Feb 5, 2014·Digestive Diseases and Sciences·Seong Ran JeonUNKNOWN Korean Gut Image Study Group
Aug 31, 2010·Gastrointestinal Endoscopy·Laurel FisherJason A Dominitz
Sep 28, 2010·Gastrointestinal Endoscopy·Koji SawadaYutaka Kohgo
Jan 29, 2016·Gastroenterology Research and Practice·Seong Ran Jeon, Jin-Oh Kim
Aug 5, 2010·Clinics in Liver Disease·Emanuele RondonottiRoberto de Franchis
Jul 6, 2014·Journal of Gastroenterology and Hepatology·Taiki AoyamaKazuaki Chayama
Jun 19, 2012·International Journal of Surgery Case Reports·Dimitrios SymeonidisKonstantinos Tepetes
Oct 13, 2017·Journal of Gastroenterology and Hepatology·Ichiro OtaniKazuaki Chayama
Mar 3, 2015·World Journal of Hepatology·Parit MekaroonkamolSaurabh Chawla
Jan 12, 2019·World Journal of Gastrointestinal Endoscopy·Hélcio Pedrosa BritoEduardo Guimarães Hourneaux de Moura
Jul 28, 2017·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Juan Egea ValenzuelaFernando Carballo Álvarez
Dec 6, 2018·International Journal of Hepatology·Yasir Al-AzzawiDavid Cave
Feb 20, 2021·Current Opinion in Gastroenterology·Stefania Chetcuti Zammit, Reena Sidhu
Jun 18, 2021·Indian Journal of Pathology & Microbiology·Vatsala MisraSri Praksh Misra

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