Role of Endoscopy in the Diagnosis, Grading, and Treatment of Portal Hypertensive Gastropathy and Gastric Antral Vascular Ectasia.

Ali Khalifa, Don C Rockey

Journal: Gastrointestinal endoscopy clinics of North America 2024;34(2):263-274

PMID: 38395483

Full Text on Elsevier Science View on PubMed

Abstract

Portal hypertensive gastropathy (PHG) and gastric antral vascular ectasia (GAVE) are 2 distinct gastric vascular abnormalities that may present with acute or chronic blood loss. PHG requires the presence of portal hypertension and is typically associated with chronic liver disease, whereas there is controversy about the association of GAVE with chronic liver disease and/or portal hypertension. Distinguishing between GAVE and PHG is crucial because their treatment strategies differ. This review highlights characteristic endoscopic appearances and the clinical features of PHG and GAVE, which, in turn, aid in their appropriate management.

Address: Digestive Disease Research Center, Medical University of South Carolina, Charleston, South Carolina, USA.; Digestive Disease Research Center, Medical University of South Carolina, Charleston, South Carolina, USA. Electronic address: [email protected].

DOI: 10.1016/j.giec.2023.09.013

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MeSH Terms: Humans, Gastric Antral Vascular Ectasia, Stomach Diseases, Hypertension, Portal, Endoscopy, Gastrointestinal, Gastrointestinal Hemorrhage