Portal Hypertensive Enteropathy Hidetaka Matsui 1 , Naoyuki Higaki 2 , Yoshiou Ikeda 1 , Hiroya Imaoka 1 , Masamoto Torisu 1 , Hidehiro Murakami 1 , Morikazu Onji 2 1Endoscopy Center, Ehime University Hospital, Toon, Japan 2Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan Keyword: 門脈圧亢進症 , 門脈圧亢進症性小腸症 , 数の子様粘膜 pp.723-726
Published Date 2008/4/24
DOI https://doi.org/10.11477/mf.1403101356
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 Portal hypertension involves the gastrointestina (GI) tract and complications like esophageal varices, portal hypertensive gastropathy (PHG) and portal hypertensive colopathy (PHC) develop subsequently. These complications are clinically important because they are sources of GI tract bleeding and anemia. In this review, we outlined portal hypertensive enteropathy (PHE) by analyzing the previous literature and our own study mainly using double balloon endoscopy (DBE). Erythema, erosion, telangiectasia and varix were observed in the small intestine in patients with portal hypertension, as previously reported. Herring roe appearance has appeared as a new characteristic finding for PHE. Histopathological examination revealed shortened and edematous villi, and dilation of mucosal capillaries. This was related to the existence of features of portal hypertension such as the incidence of PHG and PHC, splenomegaly, and thrombopenia.

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