Characteristic endoscopic features of portal hypertensive enteropathy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-05

AUTHORS

Naoyuki Higaki, Hidetaka Matsui, Hiroya Imaoka, Yoshiou Ikeda, Hidehiro Murakami, Yoichi Hiasa, Bunzo Matsuura, Morikazu Onji

ABSTRACT

BackgroundDouble-balloon endoscopy (DBE) and capsule endoscopy have opened up a new field of investigation regarding the small intestine. Although DBE has been widely used for diagnosis and treatment of different lesions in the small intestine, there is a paucity of information regarding endoscopic features of the small intestine in patients with liver cirrhosis (LC).MethodsEndoscopic images of the small intestine were taken in 21 patients with LC by DBE (EN-450P5/20 or EN-450T5/W). Biopsy specimens were taken from various parts of the small intestine and examined microscopically. Different endoscopic features of the small intestine were compared in relation to the clinical parameters of these patients.ResultsErythema and telangiectasia were observed in five patients (24%) and one patient (5%), respectively. In eight patients (38%), the small intestinal mucosa was edematous, and the intestinal villi of these patients were swollen and rounded, resembling herring roe. The patients with a herring roe appearance in the small intestine had advanced LC (Child’s classification B and C), and all of them also had portal hypertensive gastropathy and portal hypertensive colopathy. In comparison with patients without a herring roe appearance in the small intestine, patients with a herring roe appearance had a significantly increased spleen volume (P < 0.05) and decreased platelet counts (P < 0.05).ConclusionsAlthough preliminary, this study indicated that DBE may be useful for detecting different types of endoscopic lesions in patients with LC. A herring roe appearance seems to be one of the characteristic features of portal hypertensive enteropathy. However, further study will be required to develop insights about its pathogenesis. More... »

PAGES

327-331

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Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00535-008-2166-9

DOI

http://dx.doi.org/10.1007/s00535-008-2166-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1022373218

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18592149


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