PORTAL HYPERTENSIVE GASTROPATHY: A COMPREHENSIVE REVIEW

Autor:	Nisar Ahmad Shah, Shabir Ahmad Shiekh, Bilal Ahmad Khan, Showkat Ahmad Kadla
Rok vydání:	2020
Předmět:	medicine.medical_specialty business.industry Internal medicine digestive oral and skin physiology medicine Portal hypertensive gastropathy business medicine.disease Gastroenterology
Zdroj:	International Journal of Medical and Biomedical Studies. 4
ISSN:	2589-8698 2589-868X
DOI:	10.32553/ijmbs.v4i4.1084
Popis:	Portal hypertensive gastropathy (PHG) encompasses the gastric mucosal changes occurring in the setting of portal hypertension,both cirrhotic and non-cirrhotic. Its significance lies in causing acute gastrointestinal bleeding and insidious chronic blood loss presenting as iron deficiency anemia. Diagnosis of PHG is straight-forward, made endoscopically often characterized by a mosaic-like pattern resembling ‘snake-skin’, with or without red spots. Treatment of acute GI bleed is hemodynamic stabilization, vasoconstrictor therapy, antibiotic prophylaxis, non-selective beta-blockers. Endoscopic treatment like APC has a small role. In severe cases, TIPS and shunt surgery can be offered. Secondary prophylaxis of PHG bleeding with non-selective b-blockers is recommended. Keywords: Portal hypertension­, Gastrointestinal bleeding, Cirrhosis, Beta-blockers
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::6f86d55a3f231c442b9434786ff61481 https://doi.org/10.32553/ijmbs.v4i4.1084 Zobrazit plný text záznamu