Video Capsule Endoscopy in the Assessment of Portal Hypertensive Enteropathy
Joint Authors
Cave, David R.
Al-Azzawi, Yasir
Spaho, Lidia
Mahmoud, Mohammed
Kheder, Joan
Foley, Anne
Source
International Journal of Hepatology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
The features of the portal hypertension enteropathy (PHE) vary from mild mucosal changes to varices with or without bleeding.
The prevalence and the development are not fully understood.
Aim.
Our aim is to examine the prevalence and the different manifestations of PHE using video capsule endoscopy (VCE).
Methods.
It is a single center retrospective study of patients with cirrhosis, who had VCE.
Based on the published literature, we divided the PHE lesions into vascular lesions and mucosal lesions.
Results.
Of the 100 patients with cirrhosis that had a VCE study, the mean age was 62.82 years.
Male gender was predominant (64%), while Caucasians represented 82% of the cohort.
The most common etiology of cirrhosis was chronic alcohol abuse followed by chronic hepatitis C virus and nonalcoholic steatohepatitis.
VCE detected small bowel lesions in 71% of the patients while the features of PHE were found in 65% from the total cohort.
AVMs and inflammatory changes were the most common findings, followed by bleeding.
More than 50% of the lesions were vascular in nature.
The risk of finding PHE in decompensated cirrhosis is twice that in compensated cirrhosis.
Forty-five patients had negative EGD exam for any active bleeding, esophageal varices, portal hypertensive gastropathy, or gastric varices.
Of these, 69% had features of PHE in their VCE.
Conclusions.
VCE detected small bowel lesions in 71% of our cohort.
There is a high prevalence of PHE in decompensated cirrhosis.
Vascular lesions are the most common finding in the small bowel of this population.
American Psychological Association (APA)
Al-Azzawi, Yasir& Spaho, Lidia& Mahmoud, Mohammed& Kheder, Joan& Foley, Anne& Cave, David R.. 2018. Video Capsule Endoscopy in the Assessment of Portal Hypertensive Enteropathy. International Journal of Hepatology،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1173060
Modern Language Association (MLA)
Al-Azzawi, Yasir…[et al.]. Video Capsule Endoscopy in the Assessment of Portal Hypertensive Enteropathy. International Journal of Hepatology No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1173060
American Medical Association (AMA)
Al-Azzawi, Yasir& Spaho, Lidia& Mahmoud, Mohammed& Kheder, Joan& Foley, Anne& Cave, David R.. Video Capsule Endoscopy in the Assessment of Portal Hypertensive Enteropathy. International Journal of Hepatology. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1173060
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173060