The prevalence of portal hypertensive gastropathy and duodenopathy in some Egyptian cirrhotic patients.

Portal hypertensive gastropathy (PHG) and duodenopathy (PHD) are frequent in patients with cirrhosis, both are a dynamic condition that can progress from mild to severe and vice versa or even disappear completely. This study included 300 individuals classified into three groups. G I included 116 patients with mixed liver pathology (post-viral cirrhosis and post-Bilharzial fibrosis). G II included 84 patients with pure post hepatitic viral cirrhosis. Hundred healthy individual of comparable age and sex serving as control group. Upper endoscopic examination was done for all groups; gastric varices, gastric congestion and duodenal congestion were detected in 12%, 19.5% and 14.5%, respectively in Gs I & II with statistically significant difference when they were compared to controls (P- < 0.01). In conclusion, high prevalence of PHG and PHD in cirrhotic patients was either due to post-viral cirrhosis or mixed pathology.