The Portal Hypertensive Gastropathy: A Case and Review of Literature HD01-HD02
Dr. Francesco Massoni,
Department of Anatomy, Histology, Legal Medicine and Orthopedics, “Sapienza” University of Rome, Italy.
Viale Regina Elena 336, 00161 Rome - Italy.
Upper gastrointestinal bleeding is a cause of high risk for morbidity and mortality. It has been debated in alcoholic cirrhosis, if alcohol exerts an exclusive and causal role upon gastropathy or whether it is linked to cirrhotic portal hypertension. The authors describe an autopsy report regarding mortality caused by gastric bleeding in a 53-year-old patient who suffered from cirrhosis. Literature has evidence of direct, marked damage of alcohol upon the gastric mucosa and there is noteworthy statistical data implying the revaluation of the pathogenesis of the bleeding.