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The stomach in cirrhosis. The legend of Proteus retold.
J Clin Gastroenterol. 1993 Sep; 17(2):92-6.JC

Abstract

Portal hypertensive gastropathy (PHG) and gastric antral vascular ectasia (GAVE) (watermelon stomach) are increasingly recognized as separate nosological entities detectable by careful upper gastrointestinal endoscopy and meticulous histological assessment. The have a significant phenomenological overlap; both usually present with gastric mucosal hemorrhage and have a striking association with cirrhosis. However, the distinct endoscopic and histological features, which are discussed in this paper, enable physicians to differentiate PHG from GAVE. Portal hypertension as the prerequisite of PHG necessitates surgical (portosystemic shunting) or medical (beta-blockade) portal decompressive therapy, whereas the angiodysplasia-like lesions in watermelon stomach are successfully treated by electrocoagulation or laser therapy.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Editorial
Review

Language

eng

PubMed ID

8409328

Citation

Lingenfelser, T, and J E. Krige. "The Stomach in Cirrhosis. the Legend of Proteus Retold." Journal of Clinical Gastroenterology, vol. 17, no. 2, 1993, pp. 92-6.
Lingenfelser T, Krige JE. The stomach in cirrhosis. The legend of Proteus retold. J Clin Gastroenterol. 1993;17(2):92-6.
Lingenfelser, T., & Krige, J. E. (1993). The stomach in cirrhosis. The legend of Proteus retold. Journal of Clinical Gastroenterology, 17(2), 92-6.
Lingenfelser T, Krige JE. The Stomach in Cirrhosis. the Legend of Proteus Retold. J Clin Gastroenterol. 1993;17(2):92-6. PubMed PMID: 8409328.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The stomach in cirrhosis. The legend of Proteus retold. AU - Lingenfelser,T, AU - Krige,J E, PY - 1993/9/1/pubmed PY - 1993/9/1/medline PY - 1993/9/1/entrez SP - 92 EP - 6 JF - Journal of clinical gastroenterology JO - J Clin Gastroenterol VL - 17 IS - 2 N2 - Portal hypertensive gastropathy (PHG) and gastric antral vascular ectasia (GAVE) (watermelon stomach) are increasingly recognized as separate nosological entities detectable by careful upper gastrointestinal endoscopy and meticulous histological assessment. The have a significant phenomenological overlap; both usually present with gastric mucosal hemorrhage and have a striking association with cirrhosis. However, the distinct endoscopic and histological features, which are discussed in this paper, enable physicians to differentiate PHG from GAVE. Portal hypertension as the prerequisite of PHG necessitates surgical (portosystemic shunting) or medical (beta-blockade) portal decompressive therapy, whereas the angiodysplasia-like lesions in watermelon stomach are successfully treated by electrocoagulation or laser therapy. SN - 0192-0790 UR - https://www.unboundmedicine.com/medline/citation/8409328/The_stomach_in_cirrhosis__The_legend_of_Proteus_retold_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=8409328.ui DB - PRIME DP - Unbound Medicine ER -