Portal Colopathy

Portal hypertensive gastropathy / enteropathy / colopathy …

In portal hypertension, chronic portal venous congestion leads to dilatation and ectasia of the submucosal vessels in the stomach (portal hypertensive gastropathy), small bowel (portal hypertensive enteropathy) and/or large bowel (portal hypertensive colopathy).

https://radiopaedia.org/articles/portal-hypertensive-gastropathy-enteropathy-colopathy

Portal hypertensive colopathy in patients with liver cirrhosis

Portal hypertensive colopathy was defined endoscopically in patients with vascular ectasia, redness, and blue vein. Vascular ectasia was classified into two types: type 1, solitary vascular ectasia; and type 2, diffuse vascular ectasia.

https://pubmed.ncbi.nlm.nih.gov/15918202/

Portal hypertensive colopathy is associated with portal …

Portal hypertensive colopathy (PHC) was found in 23.9%, colonic varices in 7.6% and polyps in 38% of patients (adenomatous type 65.2%). One asymptomatic patient had a well-differentiated adenocarcinoma. The manifestations of colorectal PH were not associated with the etiology of liver disease or with the Child-Pugh grade.

https://pubmed.ncbi.nlm.nih.gov/19824111/

Portal Hypertensive Colopathy | IntechOpen

Portal colopathy was present in 36.6% patients with PHT and none of the controls (p = 0.0005). None of the parameters (e.g. aetiology of PHT, Child’s class, oesophageal variceal eradication by Endoscopic Sclerotherapy with or without Endoscopic variceal ligation, history of variceal bleeding, grade of oesophageal varices, presence of portal hypertensive gastropathy or gastric varices …

https://www.intechopen.com/books/colonoscopy/portal-hypertensive-colopathy

Portal Colopathy: Prospective Study of Colonoscopy in …

C ongestive gastropathy is a well-recognized conse- quence of portal hypertension (l-5).

https://www.gastrojournal.org/article/0016-5085(91)90067-U/pdf

Portal hypertensive gastropathy and colopathy

Portal hypertensive gastropathy (PHG) and colopathy (PHC) are considered complications of portal hypertension. Both entities are clinically relevant because they may cause insidious blood loss or even acute massive gastrointestinal hemorrhage. Endoscopic evaluation is necessary for the diagnosis of PHG and PHC.

https://pubmed.ncbi.nlm.nih.gov/24679502/

An Update: Portal Hypertensive Gastropathy and Colopathy

Portal hypertensive gastropathy can range from a mosaic-like pattern resembling snakeskin mucosa to frankly bleeding petechial lesions. Portal hypertensive colopathy has been less well-described and is variably characterized (erythema, vascular lesions, petechiae). Treatment is challenging and results are inconsistent.

https://pubmed.ncbi.nlm.nih.gov/31563216/

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