Endoscopic Findings and Clinical Significance of Portal Hypertensive Colopathy / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 332-337, 2011.
Article
Dans Coréen
| WPRIM
| ID: wpr-78286
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Numération des plaquettes
/
Thrombopénie
/
Indice de gravité de la maladie
/
Varices oesophagiennes et gastriques
/
Études rétrospectives
/
Coloscopie
/
Syndrome du côlon irritable
/
Hypertension portale
/
Muqueuse intestinale
/
Cirrhose du foie
Type d'étude:
Etude diagnostique
/
Étude observationnelle
Limites du sujet:
Adulte
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
The Korean Journal of Gastroenterology
Année:
2011
Type:
Article
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