Role of Endoscopy in the Diagnosis, Grading, and Treatment of Portal Hypertensive Gastropathy and Gastric Antral Vascular Ectasia.

Autor: Khalifa A; Digestive Disease Research Center, Medical University of South Carolina, Charleston, South Carolina, USA., Rockey DC; Digestive Disease Research Center, Medical University of South Carolina, Charleston, South Carolina, USA. Electronic address: rockey@musc.edu.
Jazyk: angličtina
Zdroj: Gastrointestinal endoscopy clinics of North America [Gastrointest Endosc Clin N Am] 2024 Apr; Vol. 34 (2), pp. 263-274. Date of Electronic Publication: 2023 Oct 29.
DOI: 10.1016/j.giec.2023.09.013
Abstrakt: Portal hypertensive gastropathy (PHG) and gastric antral vascular ectasia (GAVE) are 2 distinct gastric vascular abnormalities that may present with acute or chronic blood loss. PHG requires the presence of portal hypertension and is typically associated with chronic liver disease, whereas there is controversy about the association of GAVE with chronic liver disease and/or portal hypertension. Distinguishing between GAVE and PHG is crucial because their treatment strategies differ. This review highlights characteristic endoscopic appearances and the clinical features of PHG and GAVE, which, in turn, aid in their appropriate management.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE