|
KMID : 0614620110580060332
|
|
Korean Journal of Gastroenterology
2011 Volume.58 No. 6 p.332 ~ p.337
|
|
|
Endoscopic Findings and Clinical Significance of Portal Hypertensive Colopathy
|
|
Jung In-Bum
Lee Tae-Hee
Lim Seong-Min
Ryu Ki-Hyun
Kim Yong-Seok
Kim Sun-Moon
Im Euyi-Hyeog
Huh Kyu-Chan
Choi Young-Woo
Kang Young-Woo
|
|
|
Abstract
|
|
|
Background/Aims: The endoscopic findings and clinical relevance of portal hypertensive colopathy are not well described in Korea. We aimed to do a retrospective study of mucosal changes in the colon of patients with liver cirrhosis and to find their association with clinical characteristics.
Methods: We reviewed the clinical data and endoscopic findings of 48 patients with liver cirrhosis and 48 patients, matched for age and sex, with irritable bowel disease (IBS) who underwent colonoscopy over a 5 year span.
Results: Patients with liver cirrhosis were more likely to have colitis-like lesions and vascular abnormalities than IBS patients. Low platelet count (p=0.005) and severe esophageal varices (p=0.011) were associated with portal hypertensive colopathy, whereas the etiologies and severity of cirrhosis were not associated with these findings.
Conclusions: Portal hypertensive colopathy can be defined with colitis-like lesions or vascular lesions. These lesions are more frequently present in patients with more severe esophageal varices and thrombocytopenia.
|
|
|
KEYWORD
|
|
|
Liver cirrhosis, Portal hypertension, Colopathy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|