Spectrum of small-bowel mucosal abnormalities identified by capsule endoscopy in patients with portal hypertension of varied etiology
- 09.01.2017
- Original Article
Erschienen in:
- Verfasst von
-
T. S. Chandrasekar
Korrespondierender Autor T. S. Chandrasekar
- Medindia Institute of Medical Specialities, 600 034, Chennai, India
-
Gokul Bollu Janakan
Gokul Bollu Janakan
- Medindia Institute of Medical Specialities, 600 034, Chennai, India
-
Viveksandeep Thoguluva Chandrasekar
Viveksandeep Thoguluva Chandrasekar
- Medindia Institute of Medical Specialities, 600 034, Chennai, India
-
Raja Yogesh Kalamegam
Raja Yogesh Kalamegam
- Medindia Institute of Medical Specialities, 600 034, Chennai, India
-
Sathiamoorthy Suriyanarayanan
Sathiamoorthy Suriyanarayanan
- Medindia Institute of Medical Specialities, 600 034, Chennai, India
-
Prasad Menta Sanjeevaraya
Prasad Menta Sanjeevaraya
- Medindia Institute of Medical Specialities, 600 034, Chennai, India
- Erschienen in
- Indian Journal of Gastroenterology | Ausgabe 1/2017
Abstract
Background
Bleeding from small intestinal ectopic varices and persistent anemia caused by portal hypertensive enteropathy (PHE) can be very challenging. Capsule endoscopy (CE) is one of the best noninvasive modalities in identifying such lesions.
Aim
The aims of this study are to study the prevalence of small-bowel changes related to portal hypertension (PHT) and to correlate them with the observations related to the effects of portal hypertension in the esophagus, stomach, and colon.
Methods
Thirty-two patients with various etiologies of PHT with either anemia or gastrointestinal bleed were included along with age- and sex-matched controls without PHT. All patients underwent blood tests, gastroscopy, colonoscopy, and CE. The small-bowel findings by CE were categorized as inflammatory-like and vascular lesions. The small-bowel changes were analyzed to find out any association with various demographic, clinical, and endoscopic variables.
Results
Thirty-one out of 32 patients with PHT (96.8%) had PHE identified by CE. Of them, 31 (96.8%) had inflammatory-like appearance, 11 (34.4%) had vascular lesions, and 2 (6.2%) had small-bowel varices. Inflammatory-like appearance was noted in eight (25%) and angiodysplastic lesions in two (6.2%) controls. Findings compatible with PHE were detected in 96.8% of the patients and 25% of the controls (X 2 =34.72, p=0.000).The presence of PHE was not associated with any of the above-mentioned variables.
Conclusions
Small-bowel mucosal changes were seen in significantly higher number of patients with PHT with anemia.
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- Titel
- Spectrum of small-bowel mucosal abnormalities identified by capsule endoscopy in patients with portal hypertension of varied etiology
- Verfasst von
-
T. S. Chandrasekar
Gokul Bollu Janakan
Viveksandeep Thoguluva Chandrasekar
Raja Yogesh Kalamegam
Sathiamoorthy Suriyanarayanan
Prasad Menta Sanjeevaraya
- Publikationsdatum
- 09.01.2017
- Verlag
- Springer India
- Erschienen in
-
Indian Journal of Gastroenterology / Ausgabe 1/2017
Print ISSN: 0254-8860
Elektronische ISSN: 0975-0711 - DOI
- https://doi.org/10.1007/s12664-016-0721-5
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