Michael: /* References */

2018-02-07T22:51:41Z

References

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	[[Category:Diagnosis]]		[[Category:Diagnosis]]
			[[Category:Gastrointestinal pathology]]

Michael at 22:50, 7 February 2018

2018-02-07T22:50:49Z

← Older revision		Revision as of 22:50, 7 February 2018
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	'''Portal hypertensive gastropathy''', abbreviated ''PHG'', is a benign pathology of the [[stomach]] caused by [[hypertension\|high blood pressure]] in the portal system.		'''Portal hypertensive gastropathy''', abbreviated '''PHG''', is a benign pathology of the [[stomach]] caused by [[hypertension\|high blood pressure]] in the portal system.

	==General==		==General==

Michael: split out

2018-02-07T22:48:23Z

split out

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	~~#redirect~~ [[Stomach~~#Portal_hypertensive_gastropathy~~]]		'''Portal hypertensive gastropathy''', abbreviated ''PHG'', is a benign pathology of the [[stomach]] caused by [[hypertension\|high blood pressure]] in the portal system.

			==General==
			*Due to [[portal hypertension]].
			**Usually secondary to [[liver cirrhosis]] which is typically due to [[alcoholism]].
			***Reported in approximately 65% of cirrhotics with portal hypertension in one paper.<ref name=pmid15648238>{{Cite journal \| last1 = Mesihovic \| first1 = R. \| last2 = Prohic \| first2 = D. \| last3 = Gribajcevic \| first3 = M. \| last4 = Vanis \| first4 = N. \| last5 = Gornjakovic \| first5 = S. \| last6 = Sarac \| first6 = A. \| title = Portal hypertensive gastropathy (PHG). \| journal = Med Arh \| volume = 58 \| issue = 6 \| pages = 377-9 \| month = \| year = 2004 \| doi = \| PMID = 15648238 }}
			</ref>

			==Gross==
			Features:<ref name=pmid12492178>{{Cite journal \| last1 = Thuluvath \| first1 = PJ. \| last2 = Yoo \| first2 = HY. \| title = Portal Hypertensive gastropathy. \| journal = Am J Gastroenterol \| volume = 97 \| issue = 12 \| pages = 2973-8 \| month = Dec \| year = 2002 \| doi = 10.1111/j.1572-0241.2002.07094.x \| PMID = 12492178 }}</ref>
			*Mosaic-like pattern.
			**May be referred to as [[Gastric snakeskin appearance\|snakeskin-like pattern]].<ref name=pmid22211417/>
			**Usu. body of stomach.
			*+/-Red spots.

			Note:
			*May mimic [[eosinophilic gastritis]].<ref name=pmid22211417>{{Cite journal \| last1 = Sikanderkhel \| first1 = S. \| last2 = Luthra \| first2 = M. \| last3 = Chavalitdhamrong \| first3 = D. \| title = Snakeskin-like pattern mimicking portal hypertensive gastropathy in patient with eosinophilic gastritis. \| journal = Dig Endosc \| volume = 24 \| issue = 1 \| pages = 53 \| month = Jan \| year = 2012 \| doi = 10.1111/j.1443-1661.2011.01155.x \| PMID = 22211417 }}</ref>

			===Images===
			<gallery>
			Image:PHGastro.jpg \| PHG. (WC/Samir)
			</gallery>

			==Microscopic==
			Features:<ref name=Ref_GLP120-1>{{Ref GLP\|120-1}}</ref>
			*Dilated capillaries in the submucosa (prominent) and to a lesser extent in the lamina propria - '''key feature'''.

			Notes:
			*May be associated with [[hyperplastic polyp of the stomach\|hyperplastic]]-like polyps.<ref name=pmid22002002>{{Cite journal \| last1 = Lam \| first1 = MC. \| last2 = Tha \| first2 = S. \| last3 = Owen \| first3 = D. \| last4 = Haque \| first4 = M. \| last5 = Chatur \| first5 = N. \| last6 = Gray \| first6 = JR. \| last7 = Yoshida \| first7 = EM. \| title = Gastric polyps in patients with portal hypertension. \| journal = Eur J Gastroenterol Hepatol \| volume = 23 \| issue = 12 \| pages = 1245-9 \| month = Nov \| year = 2011 \| doi = 10.1097/MEG.0b013e32834c15cf \| PMID = 22002002 }}</ref>
			**Subepithelial [[granulation tissue]] and vascular proliferation.
			*Findings in mucosal biopsies are often [[specificity\|nonspecific]], i.e. not diagnostic.<ref name=Ref_GLP120-1>{{Ref GLP\|120-1}}</ref>

			DDx:
			*[[Gastric antral vascular ectasia]] - have thrombi in the dilated blood vessels.

			==Sign out==
			<pre>
			STOMACH, BIOPSY:
			- ANTRAL-TYPE AND BODY-TYPE GASTRIC MUCOSA WITH PROMINENT CAPILLARIES
			AND MODERATE CHRONIC INACTIVE INFLAMMATION.
			- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.
			- NEGATIVE FOR INTESTINAL METAPLASIA.
			- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.

			COMMENT:
			No fibrin thrombi are seen. The findings are compatible with portal hypertension.
			Clinical correlation is required.
			</pre>

			===Hyperplastic-like polyp===
			<pre>
			POLYP, STOMACH, BIOPSY:
			- HYPERPLASTIC-LIKE POLYP WITH PROMINENT VESSELS, EDEMA AND AN ERODED SURFACE WITH
			GRANULATION TISSUE FORMATION, SEE COMMENT.
			- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.
			- NEGATIVE FOR INTESTINAL METAPLASIA.
			- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.

			COMMENT:
			The polyp is consistent with the type described by Lam et al. in a set of individuals
			with portal hypertension. (Eur J Gastroenterol Hepatol 23 (12): 1245-9.)
			</pre>

			==See also==
			*[[Stomach]].
			*[[Hypertension]].

			==References==
			{{Reflist\|2}}

	[[Category:Diagnosis]]		[[Category:Diagnosis]]

Michael: redirect

2013-04-23T15:04:59Z

redirect

New page

#redirect [[Stomach#Portal_hypertensive_gastropathy]]

[[Category:Diagnosis]]

Portal hypertensive gastropathy - Revision history

Michael: /* References */

Michael at 22:50, 7 February 2018

Michael: split out

Michael: redirect