| Prevalence of gastric varices and portal hypertensive gastropathy in patients with Symmers periportal fibrosis. | |
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MedLine Citation:
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PMID: 18299649 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVE: Symmers periportal fibrosis secondary to schistosomiasis is a common cause of portal hypertension worldwide. Data on the prevalence of gastric varices and portal hypertensive gastropathy in this group of patients with portal hypertension is relatively scarce. The aim of this study was to determine the prevalence of gastric varices and portal hypertensive gastropathy in patients presenting with portal hypertension secondary to Symmers periportal fibrosis. PATIENTS AND METHODS: In a prospective study, upper gastrointestinal endoscopy was carried out to determine the prevalence of gastric varices and portal hypertensive gastropathy in patients with portal hypertension secondary to Symmers periportal fibrosis. RESULTS: Of 143 patients studied, 24 patients (16.8%) had gastric varices (grade I in 10.5%, grade II in 6.3%) and 31 patients (21.7%) had portal hypertensive gastropathy (mild in 11.2%, severe in 10.5%). Gastric varices were more prevalent in patients with grade I and II esophageal varices and portal hypertensive gastropathy was more prevalent in those with grade III and IV esophageal varices, but the differences were not statistically significant. CONCLUSION: We concluded that both gastric varices and portal hypertensive gastropathy seem to have a lower prevalence in patients with portal hypertension secondary to Symmers periportal fibrosis when compared to reported data in patients with portal hypertension secondary to liver cirrhosis and non-cirrhotic portal fibrosis. |
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Authors:
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Hatim Mudawi; Yasir Ali; Mohamed El Tahir |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Annals of Saudi medicine Volume: 28 ISSN: 0256-4947 ISO Abbreviation: Ann Saudi Med Publication Date: 2008 Jan-Feb |
Date Detail:
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Created Date: 2008-02-26 Completed Date: 2008-08-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8507355 Medline TA: Ann Saudi Med Country: Saudi Arabia |
Other Details:
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Languages: eng Pagination: 42-4 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Faculty of Medicine University of Khartoum, Khartoum, Sudan. hmudawi@hotmail.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Animals Endoscopy Esophageal and Gastric Varices / diagnosis, epidemiology*, etiology Female Gastritis / diagnosis, epidemiology*, etiology Humans Hypertension, Portal / diagnosis, epidemiology*, etiology Male Middle Aged Portal Vein / parasitology, pathology, ultrasonography Prevalence Prospective Studies Schistosoma mansoni / isolation & purification Schistosomiasis mansoni / complications*, diagnosis, epidemiology Severity of Illness Index Splenic Vein / parasitology, pathology, ultrasonography Sudan / epidemiology |
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