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Órgano Oficial de la Asociación Mexicana de Hepatología
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2009, Number 2

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Ann Hepatol 2009; 8 (2)

Portal hypertensive enteropathy & capsule endoscopy

Koulaouzidis A, Douglas S, Plevris JN
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Language: English
References: 4
Page: 150
PDF size: 61.69 Kb.


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A 73-year-old male, with known cirrhosis of non-alcoholic a etiology was referred for capsule endoscopy due to recurrent and transfusion dependent anaemia. His oesophagogastroscopy revealed no evidence of varices but florid portal hypertensive gastropathy. His capsule was performed after 12 h of fast and 1 litre of polyethyleneglycol laxative preparation. It showed images of portal hypertensive enteropathy (PHE), starting at the level of the duodenum. Mucosal views of the lower jejunum and ileum were obscured by melaena however, where visible, villi bearing prominent central capillaries were noted (Figures 1 and 2); capsule endoscopy produces images at 8x magnification of normal and it is possible to obtain images of outstanding resolution.


REFERENCES

  1. Goulas S, Triantafyllidou K, Karagiannis S, Nicolaou P, Galanis P, Vafiadis I, Tzivras M, Mavrogiannis C. Capsule endoscopy in the investigation of patients with portal hypertension and anemia. Can J Gastroenterol 2008; 22: 469-74.

  2. De Palma GD, Rega M, Masone S, Persico F, Siciliano S, Patrone F, Matantuono L, Persico G. Mucosal abnormalities of the small bowel in patients with cirrhosis and portal hypertension: a capsule endoscopy study. Gastrointest Endosc 2005; 62: 529-34.

  3. Thuluvath PJ, Yoo HY. Portal Hypertensive gastropathy. Am J Gastroenterol 2002; 97: 2973-8.

  4. Ito K, Shiraki K, Sakai T, Yoshimura H, Nakano T. Portal hypertensive colopathy in patients with liver cirrhosis. World J Gastroenterol 2005; 11: 3127-30.




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C?MO CITAR (Vancouver)

Ann Hepatol. 2009;8