Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension

Background: It is a great challenge and complex process to manage complications in liver disease. Endoscopy was introduced and gained wide acceptance in the management of patients with liver disease.  The aim of the work: The study aimed to assess the prevalence and clinical value of various forms o...

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Main Authors: Mohamed Mohamed Salem, Hany Awadallah, Khaled Elmola, Yousry Hashem
Format: Article
Language:English
Published: Al-Azhar University, Faculty of Medicine (Damietta) 2022-05-01
Series:International Journal of Medical Arts
Subjects:
Online Access:https://ijma.journals.ekb.eg/article_243131_190e250f19bfe45feb4c2567446525d0.pdf
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author Mohamed Mohamed Salem
Hany Awadallah
Khaled Elmola
Yousry Hashem
author_facet Mohamed Mohamed Salem
Hany Awadallah
Khaled Elmola
Yousry Hashem
author_sort Mohamed Mohamed Salem
collection DOAJ
description Background: It is a great challenge and complex process to manage complications in liver disease. Endoscopy was introduced and gained wide acceptance in the management of patients with liver disease.  The aim of the work: The study aimed to assess the prevalence and clinical value of various forms of colonic mucosal changes in patients with liver cirrhosis and portal hypertension [PHT]. In addition to correlate these changes with oesophageal varices [OV] and portal hypertensive gastropathy [PHG].Subjects and Methods: This prospective observational study included 50 adult patients with established diagnosis of liver cirrhosis and PHT. They were evaluated clinically, and then submitted to abdominal ultrasound, upper and lower gastrointestinal endoscopy.Results: Esophageal varices and portal hypertension gastropathy, significantly associated with colonic hyperemia [colonic hyperemia was reported among 57.5% of esophageal varices compared to 20.0% of cases without varices; and reported with 60.0% of patients with compared to 26.7% of those without PHG].Conclusion: The prevalence of hyperemia [colopathy] is associated with esophageal varices and portal hypertensive gastropathy.
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spelling doaj.art-bd79653ff1d44ebdaeb819f79a925d3c2022-12-22T02:37:13ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802022-05-01452382238810.21608/ijma.2022.110614.1410243131Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal HypertensionMohamed Mohamed Salem0Hany Awadallah1Khaled Elmola2Yousry Hashem3Department of Hepatogasteroenterology, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Hepatogasteroenterology, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Hepatogasteroenterology, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Hepatogasteroenterology, Faculty of Medicine, Al-Azhar University, Cairo EgyptBackground: It is a great challenge and complex process to manage complications in liver disease. Endoscopy was introduced and gained wide acceptance in the management of patients with liver disease.  The aim of the work: The study aimed to assess the prevalence and clinical value of various forms of colonic mucosal changes in patients with liver cirrhosis and portal hypertension [PHT]. In addition to correlate these changes with oesophageal varices [OV] and portal hypertensive gastropathy [PHG].Subjects and Methods: This prospective observational study included 50 adult patients with established diagnosis of liver cirrhosis and PHT. They were evaluated clinically, and then submitted to abdominal ultrasound, upper and lower gastrointestinal endoscopy.Results: Esophageal varices and portal hypertension gastropathy, significantly associated with colonic hyperemia [colonic hyperemia was reported among 57.5% of esophageal varices compared to 20.0% of cases without varices; and reported with 60.0% of patients with compared to 26.7% of those without PHG].Conclusion: The prevalence of hyperemia [colopathy] is associated with esophageal varices and portal hypertensive gastropathy.https://ijma.journals.ekb.eg/article_243131_190e250f19bfe45feb4c2567446525d0.pdfliver cirrhosisesophagogastroduodenoscopycolonoscopyportal hypertension: colopathy
spellingShingle Mohamed Mohamed Salem
Hany Awadallah
Khaled Elmola
Yousry Hashem
Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension
International Journal of Medical Arts
liver cirrhosis
esophagogastroduodenoscopy
colonoscopy
portal hypertension: colopathy
title Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension
title_full Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension
title_fullStr Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension
title_full_unstemmed Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension
title_short Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension
title_sort correlation of upper and lower endoscopic changes in patients with liver cirrhosis and portal hypertension
topic liver cirrhosis
esophagogastroduodenoscopy
colonoscopy
portal hypertension: colopathy
url https://ijma.journals.ekb.eg/article_243131_190e250f19bfe45feb4c2567446525d0.pdf
work_keys_str_mv AT mohamedmohamedsalem correlationofupperandlowerendoscopicchangesinpatientswithlivercirrhosisandportalhypertension
AT hanyawadallah correlationofupperandlowerendoscopicchangesinpatientswithlivercirrhosisandportalhypertension
AT khaledelmola correlationofupperandlowerendoscopicchangesinpatientswithlivercirrhosisandportalhypertension
AT yousryhashem correlationofupperandlowerendoscopicchangesinpatientswithlivercirrhosisandportalhypertension