Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension
Salem, M., Awadallah, H., Elmola, K., Hashem, Y. (2022). Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension. EKB Journal Management System, 4(5), 2382-2388. doi: 10.21608/ijma.2022.110614.1410
Mohamed Mohamed Salem; Hany Awadallah; Khaled Elmola; Yousry A Hashem. "Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension". EKB Journal Management System, 4, 5, 2022, 2382-2388. doi: 10.21608/ijma.2022.110614.1410
Salem, M., Awadallah, H., Elmola, K., Hashem, Y. (2022). 'Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension', EKB Journal Management System, 4(5), pp. 2382-2388. doi: 10.21608/ijma.2022.110614.1410
Salem, M., Awadallah, H., Elmola, K., Hashem, Y. Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension. EKB Journal Management System, 2022; 4(5): 2382-2388. doi: 10.21608/ijma.2022.110614.1410

Correlation of Upper and Lower Endoscopic Changes in Patients with Liver Cirrhosis and Portal Hypertension

International Journal of Medical Arts
Article 8, Volume 4, Issue 5, May 2022, Page 2382-2388  XML PDF (883.46 K)
Document Type: Original Article
DOI: 10.21608/ijma.2022.110614.1410
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Authors
Mohamed Mohamed Salem email 1; Hany Awadallah1; Khaled Elmola1; Yousry A Hashem2
1Department of Hepatogasteroenterology, Damietta Faculty of Medicine, Al-Azhar University, Egypt
2Department of Hepatogasteroenterology, Faculty of Medicine, Al-Azhar University, Cairo Egypt
Abstract
Background: It is a great challenge and complex process to manage complications in liver disease. Endoscopy was introduced and gained wide acceptance in the management of patients with liver disease.  
The aim of the work: The study aimed to assess the prevalence and clinical value of various forms of colonic mucosal changes in patients with liver cirrhosis and portal hypertension [PHT]. In addition to correlate these changes with oesophageal varices [OV] and portal hypertensive gastropathy [PHG].
Subjects and Methods: This prospective observational study included 50 adult patients with established diagnosis of liver cirrhosis and PHT. They were evaluated clinically, and then submitted to abdominal ultrasound, upper and lower gastrointestinal endoscopy.
Results: Esophageal varices and portal hypertension gastropathy, significantly associated with colonic hyperemia [colonic hyperemia was reported among 57.5% of esophageal varices compared to 20.0% of cases without varices; and reported with 60.0% of patients with compared to 26.7% of those without PHG].
Conclusion: The prevalence of hyperemia [colopathy] is associated with esophageal varices and portal hypertensive gastropathy.
Keywords
Liver Cirrhosis; Esophagogastroduodenoscopy; Colonoscopy; Portal Hypertension: Colopathy
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