Capsule Endoscopy in the Investigation of Patients with Portal Hypertension and Anemia

Goulas, Spyros; Triantafyllidou, Konstantina; Karagiannis, Stephanos; Nicolaou, Panayiota; Galanis, Petros; Vafiadis, I.; Tzivras, Michalis; Mavrogiannis, Christos

doi:10.1155/2008/534871

Cited by 40 publications

(33 citation statements)

References 29 publications

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“…Multiple angioectasia or diffuse mucosal changes compatible with portal hypertensive enteropathy [30] were in fact detected in ten of our 13 cirrhotic patients, six of whom had ongoing overt bleeding. Although there may be an argument that the prevalence of portal hypertensive enteropathy in our cirrhotic patients was high, recent articles have reported equivalent values of prevalence, up to 60-70%, of portal hypertensive enteropathy among cirrhotic patients [30][31][32][33]. In addition, it has been suggested that severe cirrhosis is not a sine qua non condition for the occurrence of portal hypertensive enteropathy [31].…”

Section: Discussionmentioning

confidence: 84%

Factors Associated with the Clinical Impact of Capsule Endoscopy in Patients with Overt Obscure Gastrointestinal Bleeding

et al. 2009

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Section: Discussionmentioning

confidence: 84%

Factors Associated with the Clinical Impact of Capsule Endoscopy in Patients with Overt Obscure Gastrointestinal Bleeding

et al. 2009

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“…Capsule endoscopy is being used increasingly to investigate gastrointestinal bleeding of obscure origin and disorders of the small bowel with portal hypertension [31][32][33]. In this case, we did not perform capsule endoscopy; however, it may be key to the diagnosis of disorders of the small bowel with portal hypertension.…”

Section: Discussionmentioning

confidence: 93%

Transabdominal color Doppler ultrasonography for the diagnosis of small intestinal and vesical varices in a patient successfully treated with percutaneous transhepatic obliteration

Sato

2010

Clin J Gastroenterol

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A 52-year-old asymptomatic female was admitted to our hospital in January 2008 with enlarged esophageal varices due to alcoholic liver cirrhosis. Color Doppler ultrasonographic examination showed images of vessels on the small intestinal wall around the umbilical area and the anterior wall of the bladder. Images of the vessels were obtained for the small intestinal wall and the anterior wall of the bladder with computed tomography. Percutaneous transhepatic portography was performed, and hepatofugal blood flow was observed in the inferior epigastric vein connected to the superior mesenteric vein and the contrast medium passed into the small intestinal varices and the vesical varices, which drained into the right ovarian vein. Percutaneous transhepatic obliteration was then successfully performed via the afferent veins of the small intestinal varices and vesical varices. One week after the treatment, color Doppler ultrasonography showed a remarkable decrease in blood flow in the varices.

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“…In patients with PH and/or LC, the most common indication for CE is obscure gastrointestinal bleeding (OGIB). According to the guidelines of the European Society of Gastrointestinal Endoscopy [21], CE is currently the first-line imaging modality for diagnosing small-bowel lesions [22-24], especially for patients with OGIB. In addition, CE is usually preferred over DBE, as it is a safe and minimally invasive procedure, with the capsule being easy to swallow; yet its detection capabilities are extensive, such that small lesions, such as an angioectasia of the small bowel, can be diagnosed [25, 26].…”

Section: Discussionmentioning

confidence: 99%

Predictive Factors of Portal Hypertensive Enteropathy Exacerbation in Patients with Liver Cirrhosis: A Capsule Endoscopy Study

et al. 2018

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Background/Aims: The clinical course and exacerbation of portal hypertensive enteropathy (PHE) are yet to be fully clarified. This study aimed to identify factors related to PHE exacerbation in patients with liver cirrhosis (LC). Methods: Fifty patients with LC (33 male; mean age, 67 years), who underwent capsule endoscopy (CE) at the Hiroshima University Hospital between February 2009 and September 2015, were followed up for >6 months. Exacerbation is defined as the appearance of new lesions or worsening of existing lesions. The association between PHE exacerbation and the clinical factors was evaluated. Results: PHE exacerbation was identified in 24 out of 50 (48%) of cases: erythema (14 cases); angioectasia (11 cases); erosions (9 cases); villous edema (8 cases); and esophageal varices (EVs; 6 cases). The following factors were significantly associated with PHE exacerbation: portosystemic shunts, EVs and portal hypertensive gastropathy (PHG) exacerbation. After therapy, CE findings among the 24 cases were as follows: villous edema (19 cases); erythema (17 cases); angioectasia (16 cases); erosions (12 cases); and EVs (9 cases), and no observable abnormalities in 2 cases. On multivariate analysis, exacerbation of EVs and PHG were independent predictors of PHE exacerbation. Conclusion: EVs and PHG exacerbation may predict PHE exacerbation in patients with LC.

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Capsule Endoscopy in the Investigation of Patients with Portal Hypertension and Anemia

Cited by 40 publications

References 29 publications

Factors Associated with the Clinical Impact of Capsule Endoscopy in Patients with Overt Obscure Gastrointestinal Bleeding

Factors Associated with the Clinical Impact of Capsule Endoscopy in Patients with Overt Obscure Gastrointestinal Bleeding

Transabdominal color Doppler ultrasonography for the diagnosis of small intestinal and vesical varices in a patient successfully treated with percutaneous transhepatic obliteration

Predictive Factors of Portal Hypertensive Enteropathy Exacerbation in Patients with Liver Cirrhosis: A Capsule Endoscopy Study

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