Hypertensive portal colopathy in schistosomiasis mansoni--proposal for a classification.
Portal hypertension is a frequent complication of chronic liver disease, detected not only in schistosomiasis, but also in cirrhosis of any etiology. Vascular alterations in the colonic mucosa are a potential source for acute or chronic bleeding and have been observed in patients with portal hypertension. The purpose of this prospective study was to describe and propose a classification for the vascular alterations of portal hypertension in the colonic mucosa among patients with hepatosplenic schistosomiasis mansoni. One or more alterations of portal colopathy were observed in all patients and they were classified according to their intensity, obeying the classification proposed by the authors. Portal colopathy is an important finding in hepatosplenic schistosomiasis and might be the cause of lower gastrointestinal bleeding in patients with severe portal hypertension.
Faculdade de Medicina, Universidade Federal de Pernambuco, Av. Moraes Rego s/no, Cidade Univeresitária, 50640-900 Recife, PE, Brazil. angelinami@terra.com.br
Maria Angelina C
MA
Miranda
Ana Lúcia C
AL
Domingues
Heloisa S
HS
Dias
Renata C
RC
Miranda
Norma T
NT
Jucá
Maria Fátima M
MF
Albuquerque
Fernando T
FT
Cordeiro
D000328:Adult; D000368:Aged; D003108:Colonic Diseases / Q000469:parasitology* / Q000473:pathology; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000469:parasitology* / Q000473:pathology; D007413:Intestinal Mucosa / Q000098:blood supply / Q000473:pathology; D008109:Liver Diseases, Parasitic / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012555:Schistosomiasis mansoni / Q000150:complications*; D012720:Severity of Illness Index; D013158:Splenic Diseases / Q000469:parasitology* / Q000473:pathology