ArticleWorld journal of gastroenterology2009
Portal hypertensive colopathy is associated with portal hypertension severity in cirrhotic patients.
Article in World journal of gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- An Epidemiological Meta-Analysis on the Worldwide Prevalence, Resistance, and Outcomes of Spontaneous Bacterial Peritonitis in Cirrhosis.Frontiers in medicine · 2021Pooled it
- Portal Hypertensive Colopathy: Diagnostic Challenges and Management in Cirrhosis.Current gastroenterology reports · 2025Review
- Endoscopic management and outcome of non-variceal bleeding in patients with liver cirrhosis: A systematic review.World journal of gastrointestinal endoscopy · 2022Article
- Lower Gastrointestinal Bleeding in Patients With Cirrhosis-Etiology and Outcomes.The American journal of the medical sciences · 2020Article
- An Update: Portal Hypertensive Gastropathy and Colopathy.Clinics in liver disease · 2019Review
- A case of colonic varices complicated by alcoholic cirrhosis treated using balloon-occluded retrograde transvenous obliteration.Clinical journal of gastroenterology · 2018Article
- Portal hypertensive gastropathy and colopathy.Clinics in liver disease · 2014Review
- Non-variceal gastrointestinal bleeding in patients with liver cirrhosis: a review.Digestive diseases and sciences · 2012Review
- Update of endoscopy in liver disease: more than just treating varices.World journal of gastroenterology · 2012Review
Corrections and comments
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Authors and funding
11 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo assess the prevalence of portal hypertension (PH) related colorectal lesions in liver transplant candidates, and to evaluate its association with the severity of PH.
methodsBetween October 2004 and December 2005, colonoscopy was performed in 92 cirrhotic liver transplant candidates. We described the lesions resulting from colorectal PH and their association with the grade of PH in 77 patients who underwent measurement of hepatic venous pressure gradient (HVPG).
resultsMean age was 55 years and 80.7% of patients were men. The main etiology of cirrhosis was alcoholism (45.5%). Portal hypertensive colopathy (PHC) was found in 23.9%, colonic varices in 7.6% and polyps in 38% of patients (adenomatous type 65.2%). One asymptomatic patient had a well-differentiated adenocarcinoma. The manifestations of colorectal PH were not associated with the etiology of liver disease or with the Child-Pugh grade. Ninety percent of patients with colopathy presented with gastroesophageal varices (GEV), and 27.5% of patients with GEV presented with colopathy (P = 0.12). A relationship between higher values of HVPG and presence of colopathy was observed (19.9 +/- 6.2 mmHg vs 16.8 +/- 5.4 mmHg, P = 0.045), but not with the grade of colopathy (P = 0.13). Preneoplastic polyps and neoplasm (P = 0.02) and spontaneous bacterial peritonitis (P = 0.006) were more prevalent in patients with colopathy. We did not observe any association between previous beta-blocker therapy and the presence of colorectal portal hypertensive vasculopathy.
conclusionPHC is common in cirrhotic liver transplant candidates and is associated with higher portal pressure.
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