Portal hypertensive gastropathy and gastric antral vascular ectasia

Mary Drinane; Vijay H. Shah

doi:10.1007/978-3-319-13614-1_12

Portal hypertensive gastropathy and gastric antral vascular ectasia

Mary Drinane, Vijay H. Shah

Gastroenterology and Hepatology

Research output: Chapter in Book/Report/Conference proceeding › Chapter

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 language	English (US)
Title of host publication	Complications of Cirrhosis
Subtitle of host publication	Evaluation and Management
Publisher	Springer International Publishing
Pages	111-119
Number of pages	9
ISBN (Electronic)	9783319136141
ISBN (Print)	9783319136134
DOIs	https://doi.org/10.1007/978-3-319-13614-1_12
State	Published - 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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10.1007/978-3-319-13614-1_12

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title = "Portal hypertensive gastropathy and gastric antral vascular ectasia",

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.",

keywords = "Cryotherapy, Endoscopic band ligation, Gastric antral vascular ectasia, Portal hypertension, Portal hypertensive gastropathy, Radio-frequency ablation",

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AU - Shah, Vijay H.

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N2 - 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.

AB - 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.

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KW - Gastric antral vascular ectasia

KW - Portal hypertension

KW - Portal hypertensive gastropathy

KW - Radio-frequency ablation

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Portal hypertensive gastropathy and gastric antral vascular ectasia

Abstract

Keywords

ASJC Scopus subject areas

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