PORTAL HYPERTENSIVE GASTROPATHY

• Portal hypertensive gastropathy is due to increased portal pressure and collaterals, vascular dilation & ectasia occurs in stomach.
• Usually affects proximal stomach.

 Clinical features-

• Acute bledding
• Anaemia

Investigations-

• Endoscopically, appears pink speckled with red mosaic like pattern in the gastric mucosa.

Treatment-

• Propanolol reduces bleeding
• Pharmacological therapy aims at reducingportal venous pressure is used.
• TIPSS is used if pharmacological therapy is failed.
• Best treatment is liver transplantation.

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