Endoscopy 2022; 54(S 01): S271
DOI: 10.1055/s-0042-1745360
Abstracts | ESGE Days 2022
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CORRELATION BETWEEN PORTAL HYPERTENSIVE GASTROPATHY AND SEVERITY OF CIRRHOSIS

A. Hassine
1   Hopital Farhat Hached, Sousse, Tunisia
,
S. Mrabet
1   Hopital Farhat Hached, Sousse, Tunisia
,
R. Tababi
1   Hopital Farhat Hached, Sousse, Tunisia
,
R. Harbi
1   Hopital Farhat Hached, Sousse, Tunisia
,
I. Akkari
1   Hopital Farhat Hached, Sousse, Tunisia
,
A. Hassine
1   Hopital Farhat Hached, Sousse, Tunisia
,
E. Ben Jazia
1   Hopital Farhat Hached, Sousse, Tunisia
› Author Affiliations
 

Aims Portal hypertensive gastropathy (PHG) is a common endoscopic finding in cirrhotic patients. its relation with the severity of liver disease is controversial. The aim of this study was to determine the association of PHG with cirrhosis severity.

Methods We retrospectively collected data of all consecutive patients with cirrhosis of various aetiologies in our department. All patients underwent esophagogastroduodenoscopy (EGD). Findings related to PHG were noted. PHG severity was assessed and graded according to the NIEC classification. Liver disease severity was assessed by Child-Pugh and MELD scores.

Results A total of 200 patients were included in this study. There were 88 male (44%) and 122 female (56%). The mean age was 57±15 years old. The mean Child-Pugh and MELD scores were 8 and 15 respectively. Patients’ Child-Pugh classes were distributed as follows: Child-A (22%), Child-B (55%) and Child-C (23%). PHG was observed in 142 (71%) patients, of which 28.8% (n=41) had mild PHG, 50% (n=71) had moderate PHG while 21.2% (n=30) had severe gastropathy. PHG was neither correlated to MELD-score (p=0.3) nor Child-Pugh score (p=0.2) nor Child-Pugh class (A: p=0.8; B: p=0.2; C: p=0.2). Regarding gastropathy severity, severe form was just as well found to be not associated with the previous parameters: MELD-score (p=0.5), Child-Pugh-score (p=0.8) and Child-Pugh class (A: p=0.2; B: p=0.2; C: p=0.8).

Conclusions In our study, neither the presence of PHG nor its severity were correlated to the severity of cirrhosis.



Publication History

Article published online:
14 April 2022

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