Is there ileopathy in portal hypertension?

Journal of Gastroenterology and Hepatology
Surinder S RanaKusum Joshi

Abstract

Portal hypertensive gastropathy and colopathy are well described endoscopic abnormalities in patients with portal hypertension. Endoscopic abnormalities in the ileum in patients with portal hypertension have not been well described. The aim of the present study was to evaluate endoscopic abnormalities in the ileum of patients with portal hypertension. Patients with portal hypertension of various etiologies were included in the study. Upper gastrointestinal endoscopy was performed to record esophageal varices, gastric varices and portal hypertensive gastropathy. Colonoscopy with retrograde intubation of the ileum was performed and the presence of colorectal varices, colopathy and mucosal findings in the ileum were noted. Forty-one patients (age 16-80 years, 33 men) were studied. Esophageal varices were present in all. Portal hypertensive gastropathy was present in 27/41 (66%) patients. Rectal varices were noted in 22/41 (54%) patients and 17/41 (42%) patients had features suggestive of colopathy. Ileum could be intubated in 38 patients (93%). Endoscopic abnormalities in the ileum were noted in 13/38 (34%) patients. Ileopathy as evident by endoscopic mucosal abnormalities was observed in 10/38 (26%) patients. Ileal varices were p...Continue Reading

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Citations

May 31, 2014·Gastroenterology Report·Deepak GunjanDeepak K Bhasin
Jul 2, 2008·Journal of Gastroenterology·Naoyuki HigakiMorikazu Onji
Nov 21, 2007·Digestive Diseases and Sciences·Pedro FigueiredoDiniz Freitas
Mar 31, 2015·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Martin JanickoPeter Jarcuska
Dec 22, 2016·Abdominal Radiology·Farnoosh SokhandonDominic Scola

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