Effect of Portal Hypertension in the Small Bowel: An Endoscopic Approach

Background and aim The effects of portal hypertension in the small bowel are largely unknown. The aim of the study was to prospectively assess portal hypertension manifestations in the small bowel. Methods We compared, by performing enteroscopy with capsule endoscopy, the endoscopic findings of 36 p...

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Bibliographic Details
Published in:Digestive diseases and sciences 2008-08, Vol.53 (8), p.2144-2150
Main Authors: Figueiredo, Pedro, Almeida, Nuno, Lérias, Clotilde, Lopes, Sandra, Gouveia, Hermano, Leitão, Maximino C., Freitas, Diniz
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biochemistry
Biological and medical sciences
Capsule Endoscopy
Case-Control Studies
Digestive system. Abdomen
Endoscopy
Endoscopy, Gastrointestinal - methods
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - pathology
Hepatology
Humans
Hypertension, Portal - complications
Hypertension, Portal - pathology
Intestinal Diseases - etiology
Intestinal Diseases - pathology
Intestinal Mucosa - pathology
Intestine, Small - blood supply
Intestine, Small - pathology
Investigative techniques, diagnostic techniques (general aspects)
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original Research
Other diseases. Semiology
Prospective Studies
Transplant Surgery
Varicose Veins - etiology
Varicose Veins - pathology
Vertebrates: anatomy and physiology, studies on body, several organs or systems
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Summary:Background and aim The effects of portal hypertension in the small bowel are largely unknown. The aim of the study was to prospectively assess portal hypertension manifestations in the small bowel. Methods We compared, by performing enteroscopy with capsule endoscopy, the endoscopic findings of 36 patients with portal hypertension, 25 cirrhotic and 11 non-cirrhotic, with 30 controls. Results Varices, defined as distended, tortuous, or saccular veins, and areas of mucosa with a reticulate pattern were significantly more frequent in patients with PTH. These two findings were detected in 26 of the 66 patients (39%), 25 from the group with PTH (69%) and one from the control group (3%) ( P 
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-007-0111-z