Upper gastrointestinal bleeding in non-cirrhotic portal cavernoma

By Nour Elleuch, Ahmad Youssfi, Wafa Dahmani

The aim of our work was to identify factors associated with the occurrence of digestive haemorrhage due to portal hypertension during non-cirrhotic portal cavernoma in a Tunisian populationOur study colligated 47 patients with non-cirrhotic portal cavernoma. The mean age was 40.7 years, with a sex ratio (male/female) of 0.95.. Oeso-gastro-duodenal endoscopy revealed oesophageal varices in 48.9% of cases and hypertensive gastropathy in 38.2%. 61.7% of patients were prescribed anticoagulation. Specific treatment of underlying diseases was instituted. After an average follow-up of 52 months, half of our patients (50.9%) presented at least one complication, dominated by digestive haemorrhage due to portal hypertension in 34% of cases. In the multivariate analysis, the presence of endoscopic signs of portal hypertension (p=0.002) and the presence of collateral venous circulation on imaging (p=0.014) were independent factors associated with the occurrence of variceal hemorrhage during follow-up. Anticoagulant therapy

• Format: Paperback
• Language: English
• ISBN: 6208645646
• ISBN13: 9786208645649
• Release Date: February 2025
• Publisher: Our Knowledge Publishing
• Length: 52 Pages
• Weight: 0.18 lbs.
• Dimensions: 0.1" x 6.0" x 9.0"