RESUMO
Introduction: Portal hypertension and its complications are theleading causes of death and liver transplantation, in patientswith cirrhosis. Portal hypertension causes hemodynamic andmucosal changes in the entire gastrointestinal (GI) tract. Thesemucosal changes in upper and lower gastro intestinal tractresult in various hemorrhagic manifestations.Methodology: This study was conducted in RNT MedicalCollege and attached hospitals, Udaipur, Rajasthan. Theobjective of study was to find relationship betweencolonoscopic finding and upper GI endoscopy finding in portalhypertension patients. A total of 100 patients’ diagnosed casesof portal hypertension were included in study. A predesignedand pretested Performa were used for obtaining informationregarding socio-demographic variables and laboratoryinvestigations including upper GI endoscopy and colonoscopyat endoscopy laboratory.Result: In present study, 75% patient had esophageal varicesand 93% patient had portal hypertensive gastropathy. Rectalvarices, rectopathy and portal hypertensive colopathy werefound in 57% of cases,39% cases and 32% cases respectively.While hemorrhoids were found in 53% of cases. Among thepatients who had esophageal varices, rectal varices werepresent in 64%. In patients without esophageal varices, rectalvaries was present in 36%. Association was found statisticallysignificant (p = 0.01). There was no statistical significantassociation found between esophageal varices and othercolonic lesions like rectopathy, colopathy and haemorrhoids. Inpresent study there was no statistically significant associationbetween portal hypertensive gastropathy and portalhypertension related colonic lesions (PHC, rectal varices,rectopathy and hemorrhoids).Conclusion: Upper gastro intestinal lesions gastropathy andesophageal varices are more common finding than lowergastro intestinal lesions. Rectal varices are only significantlower gastro intestinal finding on colonoscopy among thepatients of portal hypertension who had esophageal varices onupper GI endoscopy.