PORTAL HYPERTENSIVE GASTROPATHY: A COMPREHENSIVE REVIEW

Authors

  • Shabir Shiekh Department of Gastroenterology and Hepatology, Govt. Medical College, Srinagar, Kashmir, India.
  • Showkat Kadla Department of Gastroenterology and Hepatology, Govt. Medical College, Srinagar, Kashmir, India.
  • Bilal Khan Department of Gastroenterology and Hepatology, Govt. Medical College, Srinagar, Kashmir, India.
  • Nisar Shah Department of Gastroenterology and Hepatology, Govt. Medical College, Srinagar, Kashmir, India.

DOI:

https://doi.org/10.32553/ijmbs.v4i4.1084

Keywords:

Portal hypertension, Gastrointestinal bleeding, Cirrhosis, Beta-blockers

Abstract

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

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Published

2020-04-17

How to Cite

Shiekh, S., Kadla, S., Khan, B., & Shah, N. (2020). PORTAL HYPERTENSIVE GASTROPATHY: A COMPREHENSIVE REVIEW. International Journal of Medical and Biomedical Studies, 4(4). https://doi.org/10.32553/ijmbs.v4i4.1084

Issue

Vol. 4 No. 4 (2020)

Section

Review Articles