Copyright
©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastrointest Endosc. Jul 16, 2013; 5(7): 323-331
Published online Jul 16, 2013. doi: 10.4253/wjge.v5.i7.323
Published online Jul 16, 2013. doi: 10.4253/wjge.v5.i7.323
Reliability in endoscopic diagnosis of portal hypertensive gastropathy
George Fred Soares de Macedo, Mauricio Saab Assef, Lucio Giovanni Battista Rossini, Endoscopy Service, Santa Casa de São Paulo Medical School, São Paulo 01221-900, Brazil
Fabio Gonçalves Ferreira, Maurício Alves Ribeiro, Luiz Arnaldo Szutan, Department of Surgery, Liver and Portal Hypertension Unit, Santa Casa de São Paulo Medical School, São Paulo 01221-900, Brazil
Author contributions: de Macedo GFS and Ferreira FG designed the study; de Macedo GFS performed the endoscopic exams, and Assef MS and Rossini LGB helped with the electronic questionnaire; de Macedo GFS, Ferreira FG, Ribeiro MA and Szutan LA collaborated in the interpretation of the results and in the elaboration and critical review of the final manuscript; Ferreira FG and de Macedo GFS wrote the manuscript.
Supported by CAPES-MEC-Brazil-Grant master’s thesis
Correspondence to: Fabio Gonçalves Ferreira, MD, PhD, Department of Surgery, Liver and Portal Hypertension Unit, Santa Casa de São Paulo Medical School, Vila Buarque, São Paulo 01221-900, Brazil. drfabioferreira@uol.com.br
Telephone: +55-11-21767270 Fax: +55-11-33378164
Received: February 19, 2013
Revised: May 26, 2013
Accepted: June 1, 2013
Published online: July 16, 2013
Revised: May 26, 2013
Accepted: June 1, 2013
Published online: July 16, 2013
Core Tip
Core tip: This article proposes a simplified approach for the diagnosis of portal hypertensive gastropathy, considering the presence or the absence of mosaic-like pattern, red point lesions and cherry-red spots, without subdivisions, as those criteria exhibit high agreement among observers and high specificity. This simplified approach is useful for future research on the natural history of this disease and its related factors, thus helping to clarify some of the current controversies due to the lack of homogeneity on the diagnostic criteria of portal hypertensive gastropathy.