Portal hypertensive gastropathy and gastric antral vascular ectasia

Mary Drinane, Vijay Shah

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Portal hypertensive gastropathy (PHG) and gastric antral vascular ectasia (GAVE) are two distinct types of gastric mucosal lesions that can result in bleeding in patients with liver disease. In most cases, the diagnosis can be made during endoscopic evaluation, although for a few cases, histology may be necessary to confirm the diagnosis. It is important to distinguish PHG from GAVE as the two processes have significantly different pathogeneses, which has led to the recognition that patients with PHG versus GAVE require different management strategies. In this chapter, we review the pathophysiology, diagnosis, management, and future directions in the management in PHG and GAVE.

Original languageEnglish (US)
Title of host publicationComplications of Cirrhosis: Evaluation and Management
PublisherSpringer International Publishing
Pages111-119
Number of pages9
ISBN (Print)9783319136141, 9783319136134
DOIs
StatePublished - Jan 1 2015

Keywords

  • Cryotherapy
  • Endoscopic band ligation
  • Gastric antral vascular ectasia
  • Portal hypertension
  • Portal hypertensive gastropathy
  • Radio-frequency ablation

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Drinane, M., & Shah, V. (2015). Portal hypertensive gastropathy and gastric antral vascular ectasia. In Complications of Cirrhosis: Evaluation and Management (pp. 111-119). Springer International Publishing. https://doi.org/10.1007/978-3-319-13614-1_12