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[The role of upper gastrointestinal endoscopy in evaluation of portal hypertension].
Rev Med Chir Soc Med Nat Iasi. 2011 Oct-Dec; 115(4):1003-6.RM

Abstract

Portal hypertension is the main cause of complications of hepatic diseases determining portosystemic collateral circulation, ascites and gastroesophageal varices. Aim of the study is to review current opinions and to correlate clinical and endoscopic signs determined by portal hypertension.

MATERIAL AND METHODS

We performed a retrospective study on 150 patients diagnosed and treated for diseases associated with portal hypertension at the Institute of Hepatology and Gastroenterology from Iaşi between 2007 and 2009.

RESULTS AND DISCUSSION

Most of the patients presented with cirrhosis (112 cases) mainly of toxic (63 cases) and viral (31 cases) etiology. In order to appreciate bleeding from esophageal varices we applied Forrest criteria and identified type Ia bleeding in 26,6% of cases and type Ib bleeding at 73,4% of patients. In 15% of cases, variceal bleeding represented the first symptom of slowly progressing hepatic cirrhosis.

CONCLUSIONS

The objective of subsequent evaluation of small varices is detecting size increase, an important prognostic and therapeutic index.

Authors+Show Affiliations

Melinte-Popescu M
Universităţii de Medicină şi Farmacie "Gr. T. Popa" Iaşi.
Bălan G
No affiliation info available

MeSH

AdultAgedEndoscopy, GastrointestinalEsophageal and Gastric VaricesFemaleGastrointestinal HemorrhageHumansHypertension, PortalLiver CirrhosisMaleMiddle AgedPrognosisRetrospective StudiesSeverity of Illness Index

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

rum

PubMed ID

22276436

Citation

Melinte-Popescu, M, and G Bălan. "[The Role of Upper Gastrointestinal Endoscopy in Evaluation of Portal Hypertension]." Revista Medico-chirurgicala a Societatii De Medici Si Naturalisti Din Iasi, vol. 115, no. 4, 2011, pp. 1003-6.
Melinte-Popescu M, Bălan G. [The role of upper gastrointestinal endoscopy in evaluation of portal hypertension]. Rev Med Chir Soc Med Nat Iasi. 2011;115(4):1003-6.
Melinte-Popescu, M., & Bălan, G. (2011). [The role of upper gastrointestinal endoscopy in evaluation of portal hypertension]. Revista Medico-chirurgicala a Societatii De Medici Si Naturalisti Din Iasi, 115(4), 1003-6.
Melinte-Popescu M, Bălan G. [The Role of Upper Gastrointestinal Endoscopy in Evaluation of Portal Hypertension]. Rev Med Chir Soc Med Nat Iasi. 2011 Oct-Dec;115(4):1003-6. PubMed PMID: 22276436.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The role of upper gastrointestinal endoscopy in evaluation of portal hypertension]. AU - Melinte-Popescu,M, AU - Bălan,G, PY - 2012/1/27/entrez PY - 2012/1/27/pubmed PY - 2012/3/27/medline SP - 1003 EP - 6 JF - Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi JO - Rev Med Chir Soc Med Nat Iasi VL - 115 IS - 4 N2 - UNLABELLED: Portal hypertension is the main cause of complications of hepatic diseases determining portosystemic collateral circulation, ascites and gastroesophageal varices. Aim of the study is to review current opinions and to correlate clinical and endoscopic signs determined by portal hypertension. MATERIAL AND METHODS: We performed a retrospective study on 150 patients diagnosed and treated for diseases associated with portal hypertension at the Institute of Hepatology and Gastroenterology from Iaşi between 2007 and 2009. RESULTS AND DISCUSSION: Most of the patients presented with cirrhosis (112 cases) mainly of toxic (63 cases) and viral (31 cases) etiology. In order to appreciate bleeding from esophageal varices we applied Forrest criteria and identified type Ia bleeding in 26,6% of cases and type Ib bleeding at 73,4% of patients. In 15% of cases, variceal bleeding represented the first symptom of slowly progressing hepatic cirrhosis. CONCLUSIONS: The objective of subsequent evaluation of small varices is detecting size increase, an important prognostic and therapeutic index. SN - 0048-7848 UR - https://www.unboundmedicine.com/medline/citation/22276436/[The_role_of_upper_gastrointestinal_endoscopy_in_evaluation_of_portal_hypertension]_ L2 - http://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -