Portal Hypertensive Gastropathy

Portal Hypertensive Gastropathy


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
Classification-  

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.

Exam Important

  • Usually affects proximal stomach.
Classification-  

Investigations-

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

Treatment- 

  • Best treatment is liver transplantation.
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