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ISSN 1561-3046 (Electronic)

2016, Number 2

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Rev Cub Med Mil 2016; 45 (2)

Clinical characterization of cirrhotic patients with hypertensive portal gastropathy

Pérez LM, Infante VM, Ávalos RM, Guerrero GY, Román MY, Rodríguez ÁD

Language: Spanish
References: 30
Page: 172-182
PDF size: 112.21 Kb.


ABSTRACT

Introduction: Hypertensive portal gastropathy (HPG) is a complication of portal hypertension of clinical relevance, which appears in patients with liver cirrhosis. Objective: Characterize the different types of hypertensive portal gastropathy (HPG) according to the presence of manifestations of portal hypertension, the state of liver function and the occurrence of digestive bleeding events. Method: A descriptive, cross-sectional study was conducted in 46 patients diagnosed with cirrhosis and endoscopic evidence of portal hypertensive gastropathy (HPG), treated from 2011 to 2013 in the Gastroenterology Department of Dr. Luis Díaz Soto Central Military Hospital. They were classified according to mild or severe form and comparisons were made between both groups. Results: 78.2% of the patients presented mild gastropathy and the most frequent location was the gastric fundus (78.2%). All cases with the severe form were men (p = 0.008). Among those who had severe gastropathy, those with larger diameter of the portal (18.3 mm vs 13.5 mm, p = 0.001) and spleen (137.4 mm vs 130.03 mm, p = 0, 0002), as well as those who also had esophageal varices (100%, p = 0.007), so that acute bleeding was also more frequent among them (60%, p = 0.01). Hematologic factors of portal hypertension or with degrees of liver function, although 63% of patients were found in groups B and C of the Child-Pughs-Turcotte classification. Conclusions: The severe form of hypertensive portal gastropathy (GPH) is the least frequent, but it is accompanied by relevant clinical, humoral and imaging alterations, which require a personalized attention for this type of patients.


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