THE PREVALENCE OF PORTAL HYPERTENSIVE GASTROPATHY USING BAVENO CLASSIFICATION ON CIRRHOTIC PATIENTS AND ASSOCIATED FACTORS

Tuấn Anh Lưu, Duy Hưng Trần, Ngọc Ánh Trần

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Abstract

Aims: evaluate the prevalence of portal hypertensive gastropathy (PHG) based on Baveno classification among patients with cirrhosis and associated factors. Subjects and methods: a cross-sectional study was conducted among 223 patients with cirrhosis at the Department of Internal Medicine – Hanoi Medical University Hospital between 08/2023 and 03/2024. Our study used Baveno classification to assess PGH on endoscopy, mild PHG when total score ≤3 and severe when total score >3. Result: The mean age was 57.7 ± 10.4, 87% of patients were men. The most common etiologies of cirrhosis are alcohol (62.8%), hepatitis B virus (32.3%), and hepatitis C virus (5.8%). The prevalence of PHG was 50.2% including 28.3 mild PHG and 32.5% severe PHG. Associated factors with the severity of PHG was sex, collateral circulation, the severity of anemia, PT%, Child-Pugh grade, portal vein dilation, and esophageal varices. Conclusion: 50.2% of cirrhotic patients were presented with PHG on endoscopy and 21.9% of them had severe PHG. The main predictive factors of PHG were the presence of portal hypertension and the severity of cirrhosis

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References

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