کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3287828 | 1209464 | 2015 | 11 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Lesiones vasculares gástricas en la cirrosis: gastropatÃa y ectasia vascular antral
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کلمات کلیدی
anatomía patológica - آناتومی پاتولوژیکGastric Antral Vascular Ectasia - اکستازی عروق معده AntralTreatment - درمانTratamiento - درمان cirrosis hepática - سیروز کبدیClassification - طبقه بندیClasificación - طبقه بندیPathology - پاتولوژی یا آسیب شناسیHipertensión portal - پرفشاری پورتالgastropathy - گاستروپاتی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
پیش نمایش صفحه اول مقاله
![عکس صفحه اول مقاله: Lesiones vasculares gástricas en la cirrosis: gastropatÃa y ectasia vascular antral Lesiones vasculares gástricas en la cirrosis: gastropatÃa y ectasia vascular antral](/preview/png/3287828.png)
چکیده انگلیسی
Portal hypertensive gastropathy (GHP) is a complication of portal hypertension usually associated with liver cirrhosis. The pathogenesis is unclear but the presence of portal hypertension is an essential factor for its development. GHP may be asymptomatic or present as gastrointestinal bleeding or iron deficiency anemia. Endoscopic lesions vary from a mosaic pattern to diffuse red spots; the most common location is the fundus. Treatment is indicated when there is acute or chronic bleeding, as secondary prophylaxis. There is insufficient evidence to recommend primary prophylaxis in patients who have never bled. Drugs that decrease portal pressure, such as non-cardioselective beta-blockers, and/or endoscopic ablative treatments, such as argon-beam coagulation, may be used. The role of transarterial intrahepatic portosystemic shunt) or bypass surgery has been insufficiently analyzed. Antral vascular ectasia (EVA) is a rare entity in liver cirrhosis, whose pathophysiology is still unknown. Clinical presentation is similar to that of GHP and endoscopy usually shows red spots in the antrum. Biopsy is often required to differentiate EVA from GHP. There is no effective medical therapy, so endoscopic ablative therapy and, in severe cases, antrectomy are recommended.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: GastroenterologÃa y HepatologÃa - Volume 38, Issue 2, February 2015, Pages 97-107
Journal: GastroenterologÃa y HepatologÃa - Volume 38, Issue 2, February 2015, Pages 97-107
نویسندگان
Meritxell Casas, Xavier Calvet, Mercedes Vergara, Maria Rosa Bella, Félix Junquera, Eva Martinez-Bauer, Rafael Campo,