Gastric antral vascular ectasia and its relation with portal hypertension

[...]lowering or normalisation of portal pressure was not followed by improvement in either the endoscopic findings or the rate of transfusions needed for recurrent bleeding. [...]splenic vein thrombosis was not observed in any of our patients, obviously because such a finding would contraindicate T...

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Bibliographic Details
Published in:Gut 2000-03, Vol.46 (3), p.440-442
Main Author: FISHER, N C
Format: Article
Language:English
Subjects:
Endoscopy
Gastric Antral Vascular Ectasia - complications
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - surgery
Humans
Hypertension
Hypertension, Portal - complications
Letters to the Editor
Liver cirrhosis
Medical imaging
Pathogenesis
Patients
Portasystemic Shunt, Transjugular Intrahepatic
Spleen
Thrombosis
Treatment Outcome
Veins & arteries
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Summary:[...]lowering or normalisation of portal pressure was not followed by improvement in either the endoscopic findings or the rate of transfusions needed for recurrent bleeding. [...]splenic vein thrombosis was not observed in any of our patients, obviously because such a finding would contraindicate TIPS, which is not a treatment of segmental portal hypertension. [...]we are still convinced that portosystemic shunting and liver function could both influence liver metabolism of the vasodilating substances that contribute to the pathogenesis of GAVE, whereas portal hypertension alone has no influence.
ISSN:0017-5749
1468-3288
1458-3288
DOI:10.1136/gut.46.3.440b