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Predictive Factors of Portal Hypertensive Enteropathy Exacerbation in Patients with Liver Cirrhosis: A Capsule Endoscopy Study

机译:肝硬化患者口腔高血压肠病加剧预测因素:胶囊内窥镜研究

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Background/Aims: The clinical course and exacerbation of portal hypertensive enteropathy (PHE) are yet to be fully clarified. This study aimed to identify factors related to PHE exacerbation in patients with liver cirrhosis (LC). Methods: Fifty patients with LC (33 male; mean age, 67 years), who underwent capsule endoscopy (CE) at the Hiroshima University Hospital between February 2009 and September 2015, were followed up for 6 months. Exacerbation is defined as the appearance of new lesions or worsening of existing lesions. The association between PHE exacerbation and the clinical factors was evaluated. Results: PHE exacerbation was identified in 24 out of 50 (48%) of cases: erythema (14 cases); angioectasia (11 cases); erosions (9 cases); villous edema (8 cases); and esophageal varices (EVs; 6 cases). The following factors were significantly associated with PHE exacerbation: portosystemic shunts, EVs and portal hypertensive gastropathy (PHG) exacerbation. After therapy, CE findings among the 24 cases were as follows: villous edema (19 cases); erythema (17 cases); angioectasia (16 cases); erosions (12 cases); and EVs (9 cases), and no observable abnormalities in 2 cases. On multivariate analysis, exacerbation of EVs and PHG were independent predictors of PHE exacerbation. Conclusion: EVs and PHG exacerbation may predict PHE exacerbation in patients with LC. (C) 2018 S. Karger AG, Basel
机译:背景/目标:门静脉高血压肠病(PHE)的临床课程和加重尚未得到完全澄清。本研究旨在识别肝硬化(LC)患者患有氏氏PHE加剧的因素。方法:在2009年2月至2015年2月至9月在2015年2月至2015年9月在广岛宫大学医院接受了胶囊内窥镜(CE)的50例LC(男性;平均年龄,67岁)随访。6个月。恶化被定义为新病变的外观或现有病变恶化。评估了PHE转化与临床因素之间的关系。结果:Phe Exacterbation在50例(48%)案件中24例鉴定出:红斑(14例);血管学障碍(11例);侵蚀(9例);绒毛水肿(8例);食管静脉曲张(EVS; 6例)。以下因素与PHE恶化显着相关:PortoSystemic分流,EVS和门静脉高血压胃病(PHG)恶化。治疗后,24例中的CE调查结果如下:绒毛水肿(19例);红斑(17例);血管学障碍(16例);侵蚀(12例);和EVS(9例),2例无可观察异常。关于多变量分析,EVS和PHG的加剧是PHE加剧的独立预测因子。结论:EVS和PHG Exacterbation可以预测LC患者的PHE恶化。 (c)2018年S. Karger AG,巴塞尔

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