This increase in blood pressure in the portal vein is known asportal hypertension.
It is commonly caused bycirrhosis(scarring of the liver).
PHG can cause changes to the entire gastrointestinal tract and lead to internal bleeding.
Verywell / Shideh Ghandeharizadeh
This article will discuss the symptoms, causes, and treatment for portal hypertensive gastropathy.
Portal hypertension is commonly resulting from liver disease.
Portal Hypertension Without Liver Disease
In some cases, portal hypertension can occur without liver disease.
This is also known as an upper endoscopy.
In some cases, they may order acapsule endoscopy, which also looks at the stomach lining.
Treatment
Treatment for PHG depends on the severity of symptoms and if bleeding is present.
For chronic, long-term bleeding, you may be given iron-replacement medications or ablood transfusionto treat anemia.
It’s important to talk to your healthcare provider about your condition and to follow their recommended treatment plan.
Left untreated, portal hypertension can lead to other complications and can potentially be fatal.
Even if you arent experiencing symptoms from PHG, you may still have concerns about your future health.
This is to be expected with a chronic condition.
Regularly speaking with your healthcare provider can help you manage multiple diseases at the same time.
2016;8(4):231-262. doi:10.4254/wjh.v8.i4.231
Urrunaga NH, Rockey DC.Portal hypertensive gastropathy and colopathy.Clin Liver Dis.
2020;132(1-2):1-11. doi:10.1007/s00508-019-01593-w
Gelberg H.Pathophysiological mechanisms of gastrointestinal toxicity.Comprehensive Toxicology.
2018;139-178. doi:10.1016/B978-0-12-801238-3.10923-7
Semela D.Systemic disease associated with noncirrhotic portal hypertension.Clinical Liver Disease.
2015;10:67. doi:10.1186/s13023-015-0288-8
Bosch J.Portal hypertension and cirrhosis: from evolving concepts to better therapies.Clinical Liver Disease.
2020;15(S1).
