Open AccessThe Portal Hypertensive Gastropathy: A Case and Review of Literature
Author(s) -
Francesco Massoni,
Lidia Ricci,
Marcello Pelosi,
Serafino Ricci
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/14489.7942
Subject(s) - cirrhosis , medicine , portal hypertensive gastropathy , portal hypertension , gastroenterology , autopsy , upper gastrointestinal bleeding , pathogenesis , gastrointestinal bleeding , alcoholic liver disease , endoscopy , esophageal varices
Upper gastrointestinal bleeding is a cause of high risk for morbidity and mortality. It has been debated in alcoholic cirrhosis, if alcohol exerts an exclusive and causal role upon gastropathy or whether it is linked to cirrhotic portal hypertension. The authors describe an autopsy report regarding mortality caused by gastric bleeding in a 53-year-old patient who suffered from cirrhosis. Literature has evidence of direct, marked damage of alcohol upon the gastric mucosa and there is noteworthy statistical data implying the revaluation of the pathogenesis of the bleeding.