Acute gastrointestinal bleeding from portal hypertensive gastropathy: prevalence and clinical features.

摘要: The clinical and endoscopic features of patients diagnosed with acute bleeding due to portal hypertensive gastropathy (PHG) were evaluated. Acute from PHG was in 12 (0.8%) 1496 patient admissions prospectively evaluated by our Gastrointestinal Bleeding Team over a 3-yr period, accounted for 8% nonvariceal liver disease. median age (8M:4F) 66 yr (range, 37-72). most common underlying disease alcoholic cirrhosis (five patients). majority presented melena. There no hemodynamic instability. Six had prior sclerotherapy. Esophageal varices, grades 1 patients) 2 (three patients), present. Severe encountered seven patients. correlation between the presence or absence grade esophageal sclerotherapy on severity continued bleeding. mean hospital stay 6 days. An average 4 units blood transfused per 2-8). Continued occurred nine (75%), one whom mild PHG. Two subsequently vasculopathy distal stomach. episode encephalopathy related mortality. (overt) is uncommon, likely recur, can evolve into pattern chronic loss.