A Study on Portal Hypertensive Colopathy in Cirrhotic Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Aim: The aim of this study was to evaluate the prevalence of Portal Hypertensive Colopathy in Patients with Cirrhosis Portal Hypertension and Clinical Correlation with the severity of the Liver Disease using Child Pughs score. Methodology: This Study was done in Department of Medical Gastroenterology in Government Stanley Medical college.Casesof cirrhosis with Portal Hypertension presenting to the medical gastroenterology department both Outpatients and Inpatients were included in the study. Symptomatic Patients were subjected to White Light Colonoscopy. Lesions characteristic of Portal Hypertensive Colopathy were studied Those lesions were biopsied and specimen were subjected to Histopathological Examination, Results: In a study of 100 cases of cirrhosis, portal hypertensive colopathy was present in 61 patients (61%), including solitary vascular ectasia in 30 patients (30%) and diffuse vascular ectasia in 41 patients (41%).Histological study revealed a marked dilatation in the microcirculation at the level of the ascending colon and rectum. The Child - Pugh class was correlated with a severity of portal hypertensive colopathy. platelet count and history of Alcohol intake was signicantly associated with portal hypertensive colopathy. Conclusion: A history of alcohol intake was the main cause of Liver Cirrhosis. As the Child – Pugh class worsens and platelet count decreases, the prevalence of portal hypertensive colopathy increases in patients with Liver Cirrhosis. Histopathologic Evauation correlated with the findings Acolonoscopic examination is indicated, in symptomatic patients especially those with worsening Child- Pugh class and or decreasing platelet count. Other incidental findings in colonoscopy and histopathology was also made out during the study.
Authors and Affiliations
Murugesan Malarvizhi, Jamila lagarsamy, Chitra Shanmugam, Murali . , M. S. Revathi, ArcotRajeswaran Venkateswaran
Keywords
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- DOI 10.9790/0853-1609039094
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