Characteristic endoscopic features of portal hypertensive enteropathy

Higaki, Naoyuki; Matsui, Hidetaka; Imaoka, Hiroya; Ikeda, Yoshiou; Murakami, Hidehiro; Hiasa, Yoichi; Matsuura, Bunzo; Onji, Morikazu

doi:10.1007/s00535-008-2166-9

Cited by 44 publications

(19 citation statements)

References 12 publications

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“…De Palma et al [6] detected telangiectasia, angiodysplastic lesions, red spots, edemas and varices in patients with liver cirrhosis and portal hypertension by capsule endoscopy. Higaki et al [7] also detected telangiectasia, erythema, edema and villous atrophy in patients with liver cirrhosis by double-balloon endoscopy. However, no study has been able to clarify the etiology of any of these lesions.…”

Section: Introductionmentioning

confidence: 99%

Small Intestinal Edema Had the Strongest Correlation with Portal Venous Pressure amongst Capsule Endoscopy Findings

Takahashi

Fujimori²,

Narahara³

et al. 2012

Digestion

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Background/Aim: Previous studies have reported small intestinal lesions in patients with portal hypertensive disease. However, the etiology of these lesions is not clear, as portal venous pressure was not measured in any of these studies. The aim of this study is to clarify the association between small intestinal lesions and hepatic venous pressure gradient (HVPG), which correlates well with portal venous pressure. Methods: Thirty-five patients with liver cirrhosis were evaluated by capsule endoscopy for small intestinal lesions. HVPG was measured within 3 days of capsule endoscopy. Blood tests, clinical symptoms, Child-Pugh classification and HVPG were analyzed against small intestinal lesions such as edemas, red spots, angiodysplasia and varices. Lesions were categorized according to their location in the duodenum, jejunum or ileum. Edema was evaluated using a 4-grade capsule endoscopy scoring index. Results: HVPG and edema scores increased with Child-Pugh scores. Red spots and angiodysplasia did not correlate with HVPG. Varices were detected in only 5 patients. The edema score was the factor which most strongly correlated with HVPG by multivariate analysis (p = 0.0008). There was also a strong linear relation between edema scores and HVPG (R = 0.75, p < 0.0001). Conclusion: Small intestinal edemas showed the strongest correlation with HVPG among all small intestinal lesions.

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Section: Introductionmentioning

confidence: 99%

Small Intestinal Edema Had the Strongest Correlation with Portal Venous Pressure amongst Capsule Endoscopy Findings

Takahashi

Fujimori²,

Narahara³

et al. 2012

Digestion

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show abstract

“…In portal hypertensive enteropathy (PHE) (Fig. 3.5) small bowel varices may be associated with angioectasias, which are usually minute and petechial in appearance [49].…”

Section: Vascular Lesionsmentioning

confidence: 99%

Small Bowel Capsule Endoscopy

Rahman

Patel

Rondonotti³

et al. 2014

Handbook of Capsule Endoscopy

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“…La introducción de nuevas tecnologías, como la cápsula endoscópica, ha permitido demostrar lesiones mucosas relacionadas con la HTP en el intestino delgado, lo que se ha dado a conocer como enteropatía hipertensiva [38][39][40][41] . Se observa, pues, un espectro de lesiones que abarcan la totalidad del tubo digestivo y que parecen compartir un origen común, es decir, la presencia de HTP.…”

Section: Article In Pressunclassified