[Endoscopic findings and clinical significance of portal hypertensive colopathy].
Korean J Gastroenterol
; 58(6): 332-7, 2011 Dec.
Article
in Ko
| MEDLINE
| ID: mdl-22198231
ABSTRACT
BACKGROUND/AIMS:
The endoscopic findings and clinical relevance of portal hypertensive colopathy are not well described in Korea. We aimed to do a retrospective study of mucosal changes in the colon of patients with liver cirrhosis and to find their association with clinical characteristics.METHODS:
We reviewed the clinical data and endoscopic findings of 48 patients with liver cirrhosis and 48 patients, matched for age and sex, with irritable bowel disease (IBS) who underwent colonoscopy over a 5 year span.RESULTS:
Patients with liver cirrhosis were more likely to have colitis-like lesions and vascular abnormalities than IBS patients. Low platelet count (p=0.005) and severe esophageal varices (p=0.011) were associated with portal hypertensive colopathy, whereas the etiologies and severity of cirrhosis were not associated with these findings.CONCLUSIONS:
Portal hypertensive colopathy can be defined with colitis-like lesions or vascular lesions. These lesions are more frequently present in patients with more severe esophageal varices and thrombocytopenia.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Irritable Bowel Syndrome
/
Hypertension, Portal
/
Liver Cirrhosis
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
Ko
Journal:
Korean J Gastroenterol
Journal subject:
GASTROENTEROLOGIA
Year:
2011
Document type:
Article