ĐẶC ĐIỂM HÌNH ẢNH NỘI SOI THỰC QUẢN – DẠ DÀY Ở BỆNH NHÂN XƠ GAN TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: To describe characteristics of endoscopic images of the esophagus and stomach in cirrhotic patients. Subjects and methods: A cross-sectional descriptive study was conducted on 129 patients with cirrhosis treated at the Gastroenterology Department of the Central Hospital of Thai Nguyen from August 1st, 2023, to June 1st, 2024. Results: The average age of the patients was 54,24 ± 9,415 years, the male-to-female ratio was 42/1. Regarding characteristics of endoscopic images of the esophagus and stomach: The incidence of esophageal varices was 89,15% and mainly grade III (41,1%); gastric varices present in 34,88% of patients, esophageal varices extending into the fundus (GOV2) was the most common with 21,7% and there were no cases of isolated gastric varices (IGV); erosive gastritis 39,53%; the prevalence of portal hypertensive gastropathy (PHG) was 41,09% with a mild rate of 22,48% while that of severe was 18,6%, primarily occurs in the body (60,0%) and fundus (22,7%). According to Child - Pugh's classification, there was a significant relationship between the grade of PHG and the severity of liver disease (p = 0,039). Conclusion: Esophageal varices are the most commonly observed images in patients with cirrhosis. In addition, other conditions caused by portal hypertension such as gastric varices, PHG or other lesions in the esophagus - stomach is not low percentage.