Portal hypertensive enteropathy

World Journal of Hepatology
Parit MekaroonkamolSaurabh Chawla

Abstract

Portal hypertensive enteropathy (PHE) is a condition that describes the pathologic changes and mucosal abnormalities observed in the small intestine of patients with portal hypertension. This entity is being increasingly recognized and better understood over the past decade due to increased accessibility of the small intestine made possible by the introduction of video capsule endoscopy and deep enteroscopy. Though challenged by its diverse endoscopic appearance, multiple scoring systems have been proposed to classify the endoscopic presentation and grade its severity. Endoscopic findings can be broadly categorized into vascular and non-vascular lesions with many subtypes of both categories. Clinical manifestations of PHE can range from asymptomatic incidental findings to fatal gastrointestinal hemorrhage. Classic endoscopic findings in the setting of portal hypertension may lead to a prompt diagnosis. Occasionally histopathology and cross sectional imaging like computed tomography or magnetic resonance imaging may be helpful in establishing a diagnosis. Management of overt bleeding requires multidisciplinary approach involving hepatologists, endoscopists, surgeons, and interventional radiologists. Adequate resuscitation, reduc...Continue Reading

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Citations

Jan 29, 2016·Gastroenterology Research and Practice·Seong Ran Jeon, Jin-Oh Kim
Jul 28, 2017·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Juan Egea ValenzuelaFernando Carballo Álvarez
Dec 1, 2018·Case Reports in Gastrointestinal Medicine·Rohini KrishnaMoheb Boktor
Dec 6, 2018·International Journal of Hepatology·Yasir Al-AzzawiDavid Cave
Sep 10, 2020·Clinical and Experimental Gastroenterology·Radmila V KarpovaYuliya N Lavrentieva
Jan 28, 2021·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Mariana CoelhoAna Oliveira
Jun 12, 2020·Clinical Imaging·Blandine HametChristine Hoeffel

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