Portal hypertensive colopathy in Egyptian cirrhotic patients: an endoscopic study
Background Hepatitis C virus (HCV) infection is a major health problem in Egypt. It is often complicated by liver cirrhosis and portal hypertension, resulting in gastroesophageal varices, gastropathy, and colopathy. However, there is still lack of data with respect to the prevalence and clinical rel...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-01-01
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| Series: | The Egyptian Journal of Internal Medicine |
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| Online Access: | http://www.esim.eg.net/article.asp?issn=1110-7782;year=2018;volume=30;issue=4;spage=249;epage=254;aulast=Shalaby |
| _version_ | 1818990591906676736 |
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| author | Helmy Shalaby El-Sayed El-Meghawry Sabry Al-Azhary Khaled Nagy Elfayoumy El-Sayed Abo Zeid |
| author_facet | Helmy Shalaby El-Sayed El-Meghawry Sabry Al-Azhary Khaled Nagy Elfayoumy El-Sayed Abo Zeid |
| author_sort | Helmy Shalaby |
| collection | DOAJ |
| description | Background Hepatitis C virus (HCV) infection is a major health problem in Egypt. It is often complicated by liver cirrhosis and portal hypertension, resulting in gastroesophageal varices, gastropathy, and colopathy. However, there is still lack of data with respect to the prevalence and clinical relevance of colopathy in this kind of liver disease. The aim of this study was to determine the prevalence of colopathic lesions in HCV-related cirrhotic patients, and to study their associations with the severity of liver disease and manifestations of portal hypertension
Patients and methods This cross-sectional study included 60 patients with liver cirrhosis who were submitted to thorough clinical, laboratory, and ultrasonographic examinations. In addition, both upper and lower gastrointestinal endoscopy were performed to detect portal hypertensive complications including colopathic lesions. According to their severity, colopathic lesions were graded into three grades. Patients with higher colopathic grading (grade 2 and 3) were compared with the remaining participants with respect to the severity of the liver disease and other manifestations of portal hypertension.
Results The prevalence of colopathy in cirrhotic patients with underlying HCV etiology was 91%. Patients with higher grades of colopathy were characterized by more severe liver disease. Moreover, they had increased frequency of both esophageal and gastric varices, and prior sclerotherapy or band ligation, as well as more collaterals and gastropathy, and higher grades of esophageal varices.
Conclusion Colopathic lesions are frequent in patients with HCV-induced cirrhosis. Getting endoscopic treatment for varices is a risk factor for developing higher grades of colopathy. The latter could be considered as a marker of a worse prognosis in patients with HCV cirrhosis. |
| first_indexed | 2024-12-20T19:56:49Z |
| format | Article |
| id | doaj.art-f5ab572826a24fe79f0eea2efc074da4 |
| institution | Directory Open Access Journal |
| issn | 1110-7782 2090-9098 |
| language | English |
| last_indexed | 2024-12-20T19:56:49Z |
| publishDate | 2018-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Internal Medicine |
| spelling | doaj.art-f5ab572826a24fe79f0eea2efc074da42022-12-21T19:28:08ZengSpringerOpenThe Egyptian Journal of Internal Medicine1110-77822090-90982018-01-0130424925410.4103/ejim.ejim_42_18Portal hypertensive colopathy in Egyptian cirrhotic patients: an endoscopic studyHelmy ShalabyEl-Sayed El-MeghawrySabry Al-AzharyKhaled Nagy ElfayoumyEl-Sayed Abo ZeidBackground Hepatitis C virus (HCV) infection is a major health problem in Egypt. It is often complicated by liver cirrhosis and portal hypertension, resulting in gastroesophageal varices, gastropathy, and colopathy. However, there is still lack of data with respect to the prevalence and clinical relevance of colopathy in this kind of liver disease. The aim of this study was to determine the prevalence of colopathic lesions in HCV-related cirrhotic patients, and to study their associations with the severity of liver disease and manifestations of portal hypertension Patients and methods This cross-sectional study included 60 patients with liver cirrhosis who were submitted to thorough clinical, laboratory, and ultrasonographic examinations. In addition, both upper and lower gastrointestinal endoscopy were performed to detect portal hypertensive complications including colopathic lesions. According to their severity, colopathic lesions were graded into three grades. Patients with higher colopathic grading (grade 2 and 3) were compared with the remaining participants with respect to the severity of the liver disease and other manifestations of portal hypertension. Results The prevalence of colopathy in cirrhotic patients with underlying HCV etiology was 91%. Patients with higher grades of colopathy were characterized by more severe liver disease. Moreover, they had increased frequency of both esophageal and gastric varices, and prior sclerotherapy or band ligation, as well as more collaterals and gastropathy, and higher grades of esophageal varices. Conclusion Colopathic lesions are frequent in patients with HCV-induced cirrhosis. Getting endoscopic treatment for varices is a risk factor for developing higher grades of colopathy. The latter could be considered as a marker of a worse prognosis in patients with HCV cirrhosis.http://www.esim.eg.net/article.asp?issn=1110-7782;year=2018;volume=30;issue=4;spage=249;epage=254;aulast=ShalabyChild–Pugh scoringcolopathyhepatitis C virusliver cirrhosisportal hypertension |
| spellingShingle | Helmy Shalaby El-Sayed El-Meghawry Sabry Al-Azhary Khaled Nagy Elfayoumy El-Sayed Abo Zeid Portal hypertensive colopathy in Egyptian cirrhotic patients: an endoscopic study The Egyptian Journal of Internal Medicine Child–Pugh scoring colopathy hepatitis C virus liver cirrhosis portal hypertension |
| title | Portal hypertensive colopathy in Egyptian cirrhotic patients: an endoscopic study |
| title_full | Portal hypertensive colopathy in Egyptian cirrhotic patients: an endoscopic study |
| title_fullStr | Portal hypertensive colopathy in Egyptian cirrhotic patients: an endoscopic study |
| title_full_unstemmed | Portal hypertensive colopathy in Egyptian cirrhotic patients: an endoscopic study |
| title_short | Portal hypertensive colopathy in Egyptian cirrhotic patients: an endoscopic study |
| title_sort | portal hypertensive colopathy in egyptian cirrhotic patients an endoscopic study |
| topic | Child–Pugh scoring colopathy hepatitis C virus liver cirrhosis portal hypertension |
| url | http://www.esim.eg.net/article.asp?issn=1110-7782;year=2018;volume=30;issue=4;spage=249;epage=254;aulast=Shalaby |
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