Vnitr Lek 2007, 53(9):968-971

Endoscopic findings in upper gastrointestinal tract in patients with liver cirrhosis

P. Svoboda^1,*, J. Ehrmann², P. Klvaňa¹, E. Machytka¹, M. Rydlo¹, V. Hrabovský¹

¹ Interní klinika FN Ostrava, přednosta doc. MUDr. Arnošt Martínek, CSc.

² II. interní klinika Lékařské fakulty UP a FN Olomouc, přednosta doc. MUDr. Vlastimil Procházka, Ph.D.

151 patients suffering from the cirrhosis of the liver underwent a prospective endoscopic examination of the upper digestive tract. The most frequent diagnoses in the group with the cirrhosis of the liver included oesophagus varices (64.9 %), portal hypertension gastropathy (45,7 %) and the peptic ulcer of the gastroduodenum (25.8 %). A normal diagnosis in the endoscopy of the upper digestive tract was found only in 8.6 %. Other diagnoses comprised reflux oesophagitis (13.2 %), diaphragm hiatus hernia (12.6 %), duodenogastric reflux (8.6 %), gastric antrum erosion (4.6 %), aphthic gastropathy (3.3 %), rhagades of the cardium (2 %), gastric polyp (1.3 %), mycotic oesophagitis, gastric carcinoma, oesophagus carcinoma and oesophagus achalasy (0.7 % each). Further on the study discusses possible causes of the high incidence of peptic ulcers in the patients with the cirrhosis of the liver. All findings are correlated with literary data.

Keywords: liver cirrhosis; endoscopic diagnosis; portal hypertension; peptic ulcer; Helicobacter pylori

Received: January 30, 2007; Accepted: April 10, 2007; Published: September 1, 2007  Show citation