Endoscopic Findings and Clinical Significance of Portal Hypertensive Colopathy / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 332-337, 2011.
Article
in Ko
| WPRIM
| ID: wpr-78286
Responsible library:
WPRO
ABSTRACT
BACKGROUND/AIMS: The endoscopic findings and clinical relevance of portal hypertensive colopathy are not well described in Korea. We aimed to do a retrospective study of mucosal changes in the colon of patients with liver cirrhosis and to find their association with clinical characteristics. METHODS: We reviewed the clinical data and endoscopic findings of 48 patients with liver cirrhosis and 48 patients, matched for age and sex, with irritable bowel disease (IBS) who underwent colonoscopy over a 5 year span. RESULTS: Patients with liver cirrhosis were more likely to have colitis-like lesions and vascular abnormalities than IBS patients. Low platelet count (p=0.005) and severe esophageal varices (p=0.011) were associated with portal hypertensive colopathy, whereas the etiologies and severity of cirrhosis were not associated with these findings. CONCLUSIONS: Portal hypertensive colopathy can be defined with colitis-like lesions or vascular lesions. These lesions are more frequently present in patients with more severe esophageal varices and thrombocytopenia.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Platelet Count
/
Thrombocytopenia
/
Severity of Illness Index
/
Esophageal and Gastric Varices
/
Retrospective Studies
/
Colonoscopy
/
Irritable Bowel Syndrome
/
Hypertension, Portal
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Intestinal Mucosa
/
Liver Cirrhosis
Type of study:
Diagnostic_studies
/
Observational_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Ko
Journal:
The Korean Journal of Gastroenterology
Year:
2011
Type:
Article