Abstract

GUILLEN ISERN, Dunia  and  SUBIRAT ESQUIVEL, Ledis. Current considerations of portal hypertensive gastropathy. AMC [online]. 2011, vol.15, n.3, pp.626-637. ISSN 1025-0255.

Background: portal hypertensive gastropathy may be cause digestive, acute or chronic hemorrhage, in patients with portal hypertension. Objective: to deepen in portal hypertensive gastropathy and its importance for gastroenterologists, clinicians, surgeons, pathologists and doctors in general. Development: an update bibliographical review is presented on the main clinical, endoscopic, histological and therapeutic aspects of the disease; as well as its pathogeny, prevalence and natural history. The ways of facing this disease and special emphasis is made in the questions and challenges that exposed the new knowledge also are analyzed. The most novel aspects as for the handling are specified; special attention is paid to the diagnosis and to the endoscopic therapy. Conclusions: the possibility of a bleeding starting from a portal hypertensive gastropathy it is a fact to take into account. The treatment with propanolol is very useful in the prevention of the initial and recurrent bleeding.

Keywords : STOMACH DISEASES; GASTRIC ANTRAL VASCULAR ECTASIA; HYPERTENSION, PORTAL; GASTROINTESTINAL HEMORRHAGE; REVIEW LITERATURE AS TOPIC.

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