Narrow band endoscopic diagnosis of portal hypertensive gastropathy in cirrhotic patients
Background Portal hypertensive gastropathy (PHG) is an overlooked complication of liver cirrhosis, as it is a source of acute upper gastrointestinal bleeding and cause of chronic blood loss.Objective To assess the role of narrow band endoscopy in the diagnosis of PHG in cirrhotic patients.Methods Fi...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2022-12-01
|
| Series: | Alexandria Journal of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/20905068.2022.2064164 |
| _version_ | 1828491329823309824 |
|---|---|
| author | Randa Salah Eldin Abdelmoneim Ibrahim Amr Aly Abdelmoety Nahed Baddour Perihan Salem Marwa Metawea |
| author_facet | Randa Salah Eldin Abdelmoneim Ibrahim Amr Aly Abdelmoety Nahed Baddour Perihan Salem Marwa Metawea |
| author_sort | Randa Salah Eldin Abdelmoneim Ibrahim |
| collection | DOAJ |
| description | Background Portal hypertensive gastropathy (PHG) is an overlooked complication of liver cirrhosis, as it is a source of acute upper gastrointestinal bleeding and cause of chronic blood loss.Objective To assess the role of narrow band endoscopy in the diagnosis of PHG in cirrhotic patients.Methods Fifty patients with liver cirrhosis were examined by both conventional White Light Endoscopy (WLE) and Narrow Band Technology Variable Intelligent Staining Technology (VIST) using Sonoscape endoscope HD500. Biopsies were taken from the body of gastric mucosa during endoscopy.Results The prevalence of PHG among patients with liver cirrhosis is around 94% by WLE, 92% by VIST, and 55.3% by pathology. There is no statistical significance between VIST and WLE in case of PHG p = 0,750. The risk of developing oesophageal varices grade 3 in severe PHG is higher than in no or mild PHG (OR = 6.8571, 95% CI 1.6270 to 28.9001, p = 0.0087).Conclusion VIST is comparable and complementary to WLE in diagnosis of PHG. There is poor correlation between pathology and WLE in diagnosis of PHG. |
| first_indexed | 2024-12-11T11:00:25Z |
| format | Article |
| id | doaj.art-1b0ac22a210a4cd0b8716bba6497d4fb |
| institution | Directory Open Access Journal |
| issn | 2090-5068 2090-5076 |
| language | English |
| last_indexed | 2024-12-11T11:00:25Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Alexandria Journal of Medicine |
| spelling | doaj.art-1b0ac22a210a4cd0b8716bba6497d4fb2022-12-22T01:09:53ZengTaylor & Francis GroupAlexandria Journal of Medicine2090-50682090-50762022-12-01581384310.1080/20905068.2022.2064164Narrow band endoscopic diagnosis of portal hypertensive gastropathy in cirrhotic patientsRanda Salah Eldin Abdelmoneim Ibrahim0Amr Aly Abdelmoety1Nahed Baddour2Perihan Salem3Marwa Metawea4Faculty of Medicine, Internal Medicine Department, Alexandria University, Alexandria, EgyptFaculty of Medicine, Internal Medicine Department, Alexandria University, Alexandria, EgyptFaculty of Medicine, Pathology Department, Alexandria University, Alexandria, EgyptFaculty of Medicine, Internal Medicine Department, Alexandria University, Alexandria, EgyptFaculty of Medicine, Internal Medicine Department, Alexandria University, Alexandria, EgyptBackground Portal hypertensive gastropathy (PHG) is an overlooked complication of liver cirrhosis, as it is a source of acute upper gastrointestinal bleeding and cause of chronic blood loss.Objective To assess the role of narrow band endoscopy in the diagnosis of PHG in cirrhotic patients.Methods Fifty patients with liver cirrhosis were examined by both conventional White Light Endoscopy (WLE) and Narrow Band Technology Variable Intelligent Staining Technology (VIST) using Sonoscape endoscope HD500. Biopsies were taken from the body of gastric mucosa during endoscopy.Results The prevalence of PHG among patients with liver cirrhosis is around 94% by WLE, 92% by VIST, and 55.3% by pathology. There is no statistical significance between VIST and WLE in case of PHG p = 0,750. The risk of developing oesophageal varices grade 3 in severe PHG is higher than in no or mild PHG (OR = 6.8571, 95% CI 1.6270 to 28.9001, p = 0.0087).Conclusion VIST is comparable and complementary to WLE in diagnosis of PHG. There is poor correlation between pathology and WLE in diagnosis of PHG.https://www.tandfonline.com/doi/10.1080/20905068.2022.2064164Portal hypertensive gastropathyvariable intelligent staining technologynarrow band technologyliver cirrhosisoesophageal varices |
| spellingShingle | Randa Salah Eldin Abdelmoneim Ibrahim Amr Aly Abdelmoety Nahed Baddour Perihan Salem Marwa Metawea Narrow band endoscopic diagnosis of portal hypertensive gastropathy in cirrhotic patients Alexandria Journal of Medicine Portal hypertensive gastropathy variable intelligent staining technology narrow band technology liver cirrhosis oesophageal varices |
| title | Narrow band endoscopic diagnosis of portal hypertensive gastropathy in cirrhotic patients |
| title_full | Narrow band endoscopic diagnosis of portal hypertensive gastropathy in cirrhotic patients |
| title_fullStr | Narrow band endoscopic diagnosis of portal hypertensive gastropathy in cirrhotic patients |
| title_full_unstemmed | Narrow band endoscopic diagnosis of portal hypertensive gastropathy in cirrhotic patients |
| title_short | Narrow band endoscopic diagnosis of portal hypertensive gastropathy in cirrhotic patients |
| title_sort | narrow band endoscopic diagnosis of portal hypertensive gastropathy in cirrhotic patients |
| topic | Portal hypertensive gastropathy variable intelligent staining technology narrow band technology liver cirrhosis oesophageal varices |
| url | https://www.tandfonline.com/doi/10.1080/20905068.2022.2064164 |
| work_keys_str_mv | AT randasalaheldinabdelmoneimibrahim narrowbandendoscopicdiagnosisofportalhypertensivegastropathyincirrhoticpatients AT amralyabdelmoety narrowbandendoscopicdiagnosisofportalhypertensivegastropathyincirrhoticpatients AT nahedbaddour narrowbandendoscopicdiagnosisofportalhypertensivegastropathyincirrhoticpatients AT perihansalem narrowbandendoscopicdiagnosisofportalhypertensivegastropathyincirrhoticpatients AT marwametawea narrowbandendoscopicdiagnosisofportalhypertensivegastropathyincirrhoticpatients |