Portal colopathy findings in patients with liver cirrhosis

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dc.contributor.authorGoral V.
dc.contributor.authorKizilay E.
dc.contributor.authorYukselen V.
dc.contributor.authorDursun M.
dc.contributor.authorAras N.
dc.contributor.authorCanoruc F.
dc.contributor.authorBuyukbayram H.
dc.date.accessioned2024-04-24T17:58:50Z
dc.date.available2024-04-24T17:58:50Z
dc.date.issued1999
dc.departmentDicle Üniversitesien_US
dc.description.abstractPortal hypertension diffusely affects the gastrointestinal (GI) tract. Portal colopathy is a new clinical entity with liver cirrhosis but the frequency and profile of distinct colonic mucosal lesions (portal colopathy) and rectal varices has been little studied in patients with liver cirrhosis. In this study, colonoscopic findings, upper GI endoscopy, portal system colored Doppler ultrasonographic results and the degree of liver dysfunction were prospectively investigated among 25 haemodynamically stable patients with postviral cirrhosis without a history of bleeding. We found the incidence of esophageal varices to be 96%, congestive gastropathy 20% and portal colopathy excluding anorectal varices and hemorrhoids 92% in our patients. Portal colopathic lesions were occasionally localized in the rectosigmoid area, ascending colon, anal canal and transverse colon. The degree of esophageal varices was associated with congestive colopathy but not with anorectal varices and hemorrhoids. While congestive gastropathy had no significant relationship with esophageal varices, congestive colopathy was present in all patients with congestive gastropathy. However, no association was evident between these lesions and the degree of disease severity. Additional studies are required not only to determine the frequency of this entity, but also to understand the pathophysiology of these lesions. Since the colonic lesions, although usually asymptomatic and clinically insignificant, are a potential source of acute or chronic lower GI bleeding, further investigation is needed to reduce the risk of bleeding and offer alternative treatment models.en_US
dc.identifier.endpage333en_US
dc.identifier.issn1300-4948
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-0033369331en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage328en_US
dc.identifier.urihttps://hdl.handle.net/11468/24120
dc.identifier.volume10en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.relation.ispartofTurkish Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLiver Cirrhosisen_US
dc.subjectPortal Colopathyen_US
dc.titlePortal colopathy findings in patients with liver cirrhosisen_US
dc.title.alternativeKaraciger sirozlu hastalarda portal kolopati bulgularien_US
dc.typeArticleen_US

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