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portal hypertensive gastropathy

Thursday 23 February 2012

Portal hypertensive gastropathy is a significant cause of chronic upper gastrointestinal bleeding in patients with portal hypertension.

In contrast to watermelon stomach, the histological changes in portal hypertensive gastropathy are more prominent in the proximal stomach.

One can observe variable dilatation, irregularity, and tortuosity of the mucosal, and, if present in the specimen, submucosal veins and capillaries.

These changes, however, are not specific, and in patients with concurrent H. pylori gastritis it is virtually impossible to establish a histopathological diagnosis of portal hypertensive gastropathy.

See also

- vascular gastropathy