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Главная Новости Обновление раздела Гастроэнтерология: Портальная гипертензивная гастропатия. ПГГ. Обзор литературы.
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Портальная гипертензивная гастропатия (гастропатия при портальной гипертензии, портальная гастропатия, ПГГ) - это термин, используемый для описания характерного мозаичного рисунка слизистой желудка, часто - с подслизистыми кровоизлияниями, выявляемого с определенной частотой у пациентов с портальной гипертензией.

ПГГ является вторичным изменением слизистой оболочки (СО), а также подслизистого слоя желудка на фоне цирроза печени (ЦП) любой этиологии и сопутствующей ему портальной гипертензии. В то же время, данная патология может развиваться при гипертензии не только цирротического, но и любого другого генеза (болезнь Бадда-Киари, внепеченочная окклюзия портальной вены и др.) [1]. Читать далее....



История изучения вопроса.

Эпидемиология.

Патогенез ПГГ.

Клинические проявления.

Диагностика ПГГ.

Классификации.

Морфологическая диагностика.

Другие диагностические методы.

Течение ПГГ.

Кровотечение.

Лечение ПГГ.



СПИСОК ЛІТЕРАТУРИ

1. Бабак О.Я., Колесникова Е.В. Цирроз печени и его осложнения / О.Я.Бабак, Е.В.Колесникова. –К., 2011. -576 с.

2. Москаль О.М. Гепатогенні ерозивно-виразкові ураження шлунка: клініко-біохімічне, імунологічне та мікробіологічне обгрунтування лікування. Автореф. Дис. канд. мед. наук. –Дніпропетровськ, 2008. – 20 с.

3. McCormack T.T. Gastric lesions in portal hypertension: inflammatory gastritis or congestive gastropathy? / T.T. McCormack, J.Sims, I. Eyre-Brook, H. Kennedy et.al.// Gut. – 1985. - N 26. – P.1226-1232.

4. Urruganda N.H. Portal hypertensive gastropathy and colopathy / N.H. Urruganda, D.C.Rockey// Clin. Liver Dis. – 2014. – 18 (2). –P. 389-406.

5. Малаева Е.Г. Портальная гипертензивная гастропатия // Е.Г.Малаева, Н.Н.Силивончик // ARS MEDICA. – 2009. - № 6 (16). – С. 87-97.

6. Primignani M. Natural history of portal hypertensive gastropathy in patients with liver cirrhosis. The New Italian Endoscopic Club for the study and treatment of esophageal varices (NIEC) / M. Primignani [et al.] // Gastroenterology. – 2000. – Vol. 119, № 1. – P. 181–187.

7. Merli M. The natural history of portal hypertensive gastropathy in patients with liver cirrhosis and mild portal hypertension / M. Merli [et al.] // Am J Gastroenterol. – 2004. – Vol. 99, № 10. – P. 1959–1965.

8. Cubillas R. Portal hypertensive gastropathy: a review / R.Cubillas, D.C.Rockey // Liver Int. – 2010. - N 30. –P. 1094–102. [PubMed: 20536720].

9. Pathogenesis of portal hypertensive gastropathy: translating basic research into clinical practice / R.F.Perini, P.R.Camara, J.G. Ferraz // Nat Clin Pract Gastroenterol Hepatol. - 2009. - N 6. – P.150–8. [PubMed: 19190600].

10. Pathogenesis of portal hypertensive gastropathy: a clinical and experimental review / M.Ohta, S.Yamaguchi, N.Gotoh, M.Tomikawa // Surgery. – 2002. –N 131(1 Suppl). –P. S165-70.

11. Effects of endoscopic injection sclerotherapy on portal hypertensive gastropathy: a prospective study / K.Tanoue, M.Hashizume, H.Wada [et al.] // Gastrointest. Endosc. – 1992. – N 38. –P. 582–5. [PubMed: 1397916]

12. Batmanabane V. Prevalence of Helicobacter pylori in patients with portal hypertensive gastropathy – a study from south India / V. Batmanabane, V. Kate, N. Ananthakrishnan // Med Sci Monit. – 2004. – Vol. 10, № 4. – P. 133–136.

13. Auroux J. Gastroduodenal ulcer and erosions are related to portal hypertensive gastropathy and recent alcohol intake in cirrhotic patients / J. Auroux [et al.] // Dig Dis Sci. – 2003. – Vol. 48, № 6. – P. 1118–1123.

14. de Macedo G.F. Reliability in endoscopic diagnosis of portal hypertensive gastropathy / G.F. de Macedo, F.G. Ferreira, M.A. Ribeiro // World J Gastrointest Endosc. – 2013. -N 5. –P. 323–31. [PubMed: 23858376].

15. Spina GP, Arcidiacono R, Bosch J.. Gastric endoscopic features in portal hypertension: final report of a consensus conference, Milan, Italy, September 19, 1992 / G.P.Spina, R.Arcidiacono, J.Bosch // J Hepatol. -1994. - N 21. –P.461–7. [PubMed: 7836719]

16. Accuracy and reliability of the endoscopic classification of portal hypertensive gastropathy / H.Y.Yoo, J.A.Eustace, S.Verma [et al.]. - Gastrointest Endosc. – 2002. - N56. –P. 675–80. [PubMed: 12397275].

17. Маржатка, З. Терминология, определения терминов и диагностические критерии в эндоскопии пищеварительного тракта / З. Маржатка. – 3-е изд. – Бад-Хомбург: Нормед, 1996. – 141 с.

18. Prospective study on the application of the Baveno II Consensus Conference criteria in patients with cirrhosis and gastrointestinal bleedind / P. Cales [et al.] // J.of Hepatology. – 2000. – Vol. 33, № 1. – P. 738–741.

19. de Franchis R. Updating consensus in portal hypertension: report of the Baveno III Consensus Workshop on definitions, methodology and therapeutic strategies in portal hypertension / R. de Franchis. - J Hepatol. – 2000. - N 33. – P. 846–52. [PubMed: 11097497].

20. de Franchis R. Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension R. de Franchis, B.V.Faculty // J Hepatol. -2010. - N 53. – P. 762–8. [PubMed: 20638742]

21. Lyles T. A risk scoring system to predict in-hospital mortality in patients with cirrhosis presenting with upper gastrointestinal bleeding / T.Lyle, A.Elliott, D.S.Rockey // J Clin Gastroenterol. -2013. - Epub ahead of print.

22. Zhou Y. Comparison of the efficacy of octreotide, vasopressin, and omeprazole in the control of acute bleeding in patients with portal hypertensive gastropathy: a controlled study / Y. Zhou [et al.] // J Gastroenterol Hepatol. – 2002. – Vol. 17, № 9. – P. 973–979.

23. Ripoll C. The management of portal hypertensive gastropathy and gastric antral vascular ectasia / C.Ripoll, G.Garcia-Tsao // Dig Liver Dis. -2011. -N 43. –P.345–51. [PubMed: 21095166].

24. de Franchis, R. Evolving Consensus in Portal Hypertension Report of the Baveno IV Consensus Workshop on methodology of diagnosis and therapy in portal hypertension / R. de Franchis // Hepatology. – 2005. – Vol. 43, № 1. – P. 167–176.


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PPG_EndoExpert.ru.png



Портальная гипертензивная гастропатия (гастропатия при портальной гипертензии, портальная гастропатия, ПГГ) - это термин, используемый для описания характерного мозаичного рисунка слизистой желудка, часто - с подслизистыми кровоизлияниями, выявляемого с определенной частотой у пациентов с портальной гипертензией.

ПГГ является вторичным изменением слизистой оболочки (СО), а также подслизистого слоя желудка на фоне цирроза печени (ЦП) любой этиологии и сопутствующей ему портальной гипертензии. В то же время, данная патология может развиваться при гипертензии не только цирротического, но и любого другого генеза (болезнь Бадда-Киари, внепеченочная окклюзия портальной вены и др.) [1]. Читать далее....



История изучения вопроса.

Эпидемиология.

Патогенез ПГГ.

Клинические проявления.

Диагностика ПГГ.

Классификации.

Морфологическая диагностика.

Другие диагностические методы.

Течение ПГГ.

Кровотечение.

Лечение ПГГ.



СПИСОК ЛІТЕРАТУРИ

1. Бабак О.Я., Колесникова Е.В. Цирроз печени и его осложнения / О.Я.Бабак, Е.В.Колесникова. –К., 2011. -576 с.

2. Москаль О.М. Гепатогенні ерозивно-виразкові ураження шлунка: клініко-біохімічне, імунологічне та мікробіологічне обгрунтування лікування. Автореф. Дис. канд. мед. наук. –Дніпропетровськ, 2008. – 20 с.

3. McCormack T.T. Gastric lesions in portal hypertension: inflammatory gastritis or congestive gastropathy? / T.T. McCormack, J.Sims, I. Eyre-Brook, H. Kennedy et.al.// Gut. – 1985. - N 26. – P.1226-1232.

4. Urruganda N.H. Portal hypertensive gastropathy and colopathy / N.H. Urruganda, D.C.Rockey// Clin. Liver Dis. – 2014. – 18 (2). –P. 389-406.

5. Малаева Е.Г. Портальная гипертензивная гастропатия // Е.Г.Малаева, Н.Н.Силивончик // ARS MEDICA. – 2009. - № 6 (16). – С. 87-97.

6. Primignani M. Natural history of portal hypertensive gastropathy in patients with liver cirrhosis. The New Italian Endoscopic Club for the study and treatment of esophageal varices (NIEC) / M. Primignani [et al.] // Gastroenterology. – 2000. – Vol. 119, № 1. – P. 181–187.

7. Merli M. The natural history of portal hypertensive gastropathy in patients with liver cirrhosis and mild portal hypertension / M. Merli [et al.] // Am J Gastroenterol. – 2004. – Vol. 99, № 10. – P. 1959–1965.

8. Cubillas R. Portal hypertensive gastropathy: a review / R.Cubillas, D.C.Rockey // Liver Int. – 2010. - N 30. –P. 1094–102. [PubMed: 20536720].

9. Pathogenesis of portal hypertensive gastropathy: translating basic research into clinical practice / R.F.Perini, P.R.Camara, J.G. Ferraz // Nat Clin Pract Gastroenterol Hepatol. - 2009. - N 6. – P.150–8. [PubMed: 19190600].

10. Pathogenesis of portal hypertensive gastropathy: a clinical and experimental review / M.Ohta, S.Yamaguchi, N.Gotoh, M.Tomikawa // Surgery. – 2002. –N 131(1 Suppl). –P. S165-70.

11. Effects of endoscopic injection sclerotherapy on portal hypertensive gastropathy: a prospective study / K.Tanoue, M.Hashizume, H.Wada [et al.] // Gastrointest. Endosc. – 1992. – N 38. –P. 582–5. [PubMed: 1397916]

12. Batmanabane V. Prevalence of Helicobacter pylori in patients with portal hypertensive gastropathy – a study from south India / V. Batmanabane, V. Kate, N. Ananthakrishnan // Med Sci Monit. – 2004. – Vol. 10, № 4. – P. 133–136.

13. Auroux J. Gastroduodenal ulcer and erosions are related to portal hypertensive gastropathy and recent alcohol intake in cirrhotic patients / J. Auroux [et al.] // Dig Dis Sci. – 2003. – Vol. 48, № 6. – P. 1118–1123.

14. de Macedo G.F. Reliability in endoscopic diagnosis of portal hypertensive gastropathy / G.F. de Macedo, F.G. Ferreira, M.A. Ribeiro // World J Gastrointest Endosc. – 2013. -N 5. –P. 323–31. [PubMed: 23858376].

15. Spina GP, Arcidiacono R, Bosch J.. Gastric endoscopic features in portal hypertension: final report of a consensus conference, Milan, Italy, September 19, 1992 / G.P.Spina, R.Arcidiacono, J.Bosch // J Hepatol. -1994. - N 21. –P.461–7. [PubMed: 7836719]

16. Accuracy and reliability of the endoscopic classification of portal hypertensive gastropathy / H.Y.Yoo, J.A.Eustace, S.Verma [et al.]. - Gastrointest Endosc. – 2002. - N56. –P. 675–80. [PubMed: 12397275].

17. Маржатка, З. Терминология, определения терминов и диагностические критерии в эндоскопии пищеварительного тракта / З. Маржатка. – 3-е изд. – Бад-Хомбург: Нормед, 1996. – 141 с.

18. Prospective study on the application of the Baveno II Consensus Conference criteria in patients with cirrhosis and gastrointestinal bleedind / P. Cales [et al.] // J.of Hepatology. – 2000. – Vol. 33, № 1. – P. 738–741.

19. de Franchis R. Updating consensus in portal hypertension: report of the Baveno III Consensus Workshop on definitions, methodology and therapeutic strategies in portal hypertension / R. de Franchis. - J Hepatol. – 2000. - N 33. – P. 846–52. [PubMed: 11097497].

20. de Franchis R. Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension R. de Franchis, B.V.Faculty // J Hepatol. -2010. - N 53. – P. 762–8. [PubMed: 20638742]

21. Lyles T. A risk scoring system to predict in-hospital mortality in patients with cirrhosis presenting with upper gastrointestinal bleeding / T.Lyle, A.Elliott, D.S.Rockey // J Clin Gastroenterol. -2013. - Epub ahead of print.

22. Zhou Y. Comparison of the efficacy of octreotide, vasopressin, and omeprazole in the control of acute bleeding in patients with portal hypertensive gastropathy: a controlled study / Y. Zhou [et al.] // J Gastroenterol Hepatol. – 2002. – Vol. 17, № 9. – P. 973–979.

23. Ripoll C. The management of portal hypertensive gastropathy and gastric antral vascular ectasia / C.Ripoll, G.Garcia-Tsao // Dig Liver Dis. -2011. -N 43. –P.345–51. [PubMed: 21095166].

24. de Franchis, R. Evolving Consensus in Portal Hypertension Report of the Baveno IV Consensus Workshop on methodology of diagnosis and therapy in portal hypertension / R. de Franchis // Hepatology. – 2005. – Vol. 43, № 1. – P. 167–176.


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[MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => фоновый цвет блока спонсоров [~DEFAULT_VALUE] => ) [SEND_0] => Array ( [ID] => 127 [TIMESTAMP_X] => 2018-08-26 16:20:40 [IBLOCK_ID] => 1 [NAME] => Отправлять сейчас [ACTIVE] => Y [SORT] => 500 [CODE] => SEND_0 [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Отправлять сейчас [~DEFAULT_VALUE] => ) [SEND_1] => Array ( [ID] => 128 [TIMESTAMP_X] => 2018-08-26 16:20:40 [IBLOCK_ID] => 1 [NAME] => Отправлять раз в день [ACTIVE] => Y [SORT] => 500 [CODE] => SEND_1 [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Отправлять раз в день [~DEFAULT_VALUE] => ) [SEND_7] => Array ( [ID] => 129 [TIMESTAMP_X] => 2018-08-26 16:20:40 [IBLOCK_ID] => 1 [NAME] => Отправлять раз в неделю [ACTIVE] => Y [SORT] => 500 [CODE] => SEND_7 [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Отправлять раз в неделю [~DEFAULT_VALUE] => ) [SEND_30] => Array ( [ID] => 130 [TIMESTAMP_X] => 2018-08-26 16:20:40 [IBLOCK_ID] => 1 [NAME] => Отправлять раз в месяц [ACTIVE] => Y [SORT] => 500 [CODE] => SEND_30 [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Отправлять раз в месяц [~DEFAULT_VALUE] => ) [SECTION_ENDOEXPERT] => Array ( [ID] => 141 [TIMESTAMP_X] => 2018-10-16 17:43:45 [IBLOCK_ID] => 1 [NAME] => Раздел [ACTIVE] => Y [SORT] => 500 [CODE] => SECTION_ENDOEXPERT [DEFAULT_VALUE] => [PROPERTY_TYPE] => G [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 43 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => Array ( [0] => 163122 ) [VALUE] => Array ( [0] => 147 ) [DESCRIPTION] => Array ( [0] => ) [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [0] => 147 ) [~DESCRIPTION] => Array ( [0] => ) [~NAME] => Раздел [~DEFAULT_VALUE] => ) [USER] => Array ( [ID] => 182 [TIMESTAMP_X] => 2018-12-05 12:34:55 [IBLOCK_ID] => 1 [NAME] => Автор публикации [ACTIVE] => Y [SORT] => 500 [CODE] => USER [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => UserID [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Автор публикации [~DEFAULT_VALUE] => ) [ORIGINAL_LINK] => Array ( [ID] => 183 [TIMESTAMP_X] => 2018-12-05 12:34:55 [IBLOCK_ID] => 1 [NAME] => Ссылка на оригинал [ACTIVE] => Y [SORT] => 500 [CODE] => ORIGINAL_LINK [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Ссылка на оригинал [~DEFAULT_VALUE] => ) [EXCLUSIVE] => Array ( [ID] => 184 [TIMESTAMP_X] => 2018-12-05 17:04:17 [IBLOCK_ID] => 1 [NAME] => Материал эксклюзивен и будет опубликован только на EndoExpert.ru [ACTIVE] => Y [SORT] => 500 [CODE] => EXCLUSIVE [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => C [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Материал эксклюзивен и будет опубликован только на EndoExpert.ru [~DEFAULT_VALUE] => ) [CONCLUSION] => Array ( [ID] => 185 [TIMESTAMP_X] => 2019-03-28 21:41:11 [IBLOCK_ID] => 1 [NAME] => Вывод [ACTIVE] => Y [SORT] => 500 [CODE] => CONCLUSION [DEFAULT_VALUE] => [PROPERTY_TYPE] => N [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Вывод [~DEFAULT_VALUE] => ) [COMMENTS] => Array ( [ID] => 186 [TIMESTAMP_X] => 2018-12-05 12:38:06 [IBLOCK_ID] => 1 [NAME] => Отключить комментарии [ACTIVE] => Y [SORT] => 500 [CODE] => COMMENTS [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => C [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Отключить комментарии [~DEFAULT_VALUE] => ) [VIDEO] => Array ( [ID] => 187 [TIMESTAMP_X] => 2019-03-10 13:20:31 [IBLOCK_ID] => 1 [NAME] => Видео [ACTIVE] => Y [SORT] => 500 [CODE] => VIDEO [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Видео [~DEFAULT_VALUE] => ) [VIDEO_YOUTUBE] => Array ( [ID] => 188 [TIMESTAMP_X] => 2019-03-21 22:07:17 [IBLOCK_ID] => 1 [NAME] => You-tube видео [ACTIVE] => Y [SORT] => 500 [CODE] => VIDEO_YOUTUBE [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => URL брать со строки браузера [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => You-tube видео [~DEFAULT_VALUE] => ) [FILE_PDF] => Array ( [ID] => 189 [TIMESTAMP_X] => 2019-01-10 21:44:52 [IBLOCK_ID] => 1 [NAME] => Файл PDF [ACTIVE] => Y [SORT] => 500 [CODE] => FILE_PDF [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Файл PDF [~DEFAULT_VALUE] => ) [AUTHOR] => Array ( [ID] => 190 [TIMESTAMP_X] => 2019-05-13 19:16:29 [IBLOCK_ID] => 1 [NAME] => Автор [ACTIVE] => Y [SORT] => 500 [CODE] => AUTHOR [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => Y [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Автор [~DEFAULT_VALUE] => ) [SHOW_COUNT] => Array ( [ID] => 220 [TIMESTAMP_X] => 2019-03-28 21:41:11 [IBLOCK_ID] => 1 [NAME] => Количество просмотров [ACTIVE] => Y [SORT] => 500 [CODE] => SHOW_COUNT [DEFAULT_VALUE] => [PROPERTY_TYPE] => N [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 149109 [VALUE] => 335 [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => 335 [~DESCRIPTION] => [~NAME] => Количество просмотров [~DEFAULT_VALUE] => ) [SHOW_IN_INDEX] => Array ( [ID] => 225 [TIMESTAMP_X] => 2019-04-01 00:09:33 [IBLOCK_ID] => 1 [NAME] => Выводить на главной [ACTIVE] => Y [SORT] => 500 [CODE] => SHOW_IN_INDEX [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => C [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Выводить на главной [~DEFAULT_VALUE] => ) [PDF_TO_IMG] => Array ( [ID] => 500 [TIMESTAMP_X] => 2019-06-06 23:01:07 [IBLOCK_ID] => 1 [NAME] => Cделать фото из пдф для превью [ACTIVE] => Y [SORT] => 500 [CODE] => PDF_TO_IMG [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => C [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Cделать фото из пдф для превью [~DEFAULT_VALUE] => ) [BIBLIOGRAPHY_ALL] => Array ( [ID] => 519 [TIMESTAMP_X] => 2019-06-06 23:05:09 [IBLOCK_ID] => 1 [NAME] => Список литературы [ACTIVE] => Y [SORT] => 500 [CODE] => BIBLIOGRAPHY_ALL [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Список литературы [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [ENDOEXPERT] => Array ( [ID] => 520 [TIMESTAMP_X] => 2019-06-06 23:05:09 [IBLOCK_ID] => 1 [NAME] => От редакции EndoExpert.ru [ACTIVE] => Y [SORT] => 500 [CODE] => ENDOEXPERT [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => От редакции EndoExpert.ru [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [SPONSOR] => Array ( [ID] => 521 [TIMESTAMP_X] => 2019-06-06 23:05:09 [IBLOCK_ID] => 1 [NAME] => Материал опубликован при поддержке [ACTIVE] => Y [SORT] => 500 [CODE] => SPONSOR [DEFAULT_VALUE] => [PROPERTY_TYPE] => E [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 44 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Материал опубликован при поддержке [~DEFAULT_VALUE] => ) [ARCHIVE_PUBL] => Array ( [ID] => 522 [TIMESTAMP_X] => 2019-06-06 23:05:09 [IBLOCK_ID] => 1 [NAME] => Архив материалов к публикации [ACTIVE] => Y [SORT] => 500 [CODE] => ARCHIVE_PUBL [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Архив материалов к публикации [~DEFAULT_VALUE] => ) [FILE_PUBL] => Array ( [ID] => 523 [TIMESTAMP_X] => 2019-06-06 23:05:09 [IBLOCK_ID] => 1 [NAME] => Публикация в электронном виде [ACTIVE] => Y [SORT] => 500 [CODE] => FILE_PUBL [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Публикация в электронном виде [~DEFAULT_VALUE] => ) [BIBLIOGRAPHY] => Array ( [ID] => 524 [TIMESTAMP_X] => 2019-06-06 23:05:09 [IBLOCK_ID] => 1 [NAME] => Список литературы [ACTIVE] => Y [SORT] => 500 [CODE] => BIBLIOGRAPHY [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => Y [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Список литературы [~DEFAULT_VALUE] => ) [VIDEO_DESCRIPTION] => Array ( [ID] => 525 [TIMESTAMP_X] => 2019-06-06 23:05:09 [IBLOCK_ID] => 1 [NAME] => Описание видео [ACTIVE] => Y [SORT] => 500 [CODE] => VIDEO_DESCRIPTION [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 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Новости: Обновление раздела Гастроэнтерология: Портальная гипертензивная гастропатия. ПГГ. Обзор литературы.

Полный текст статьи:


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Портальная гипертензивная гастропатия (гастропатия при портальной гипертензии, портальная гастропатия, ПГГ) - это термин, используемый для описания характерного мозаичного рисунка слизистой желудка, часто - с подслизистыми кровоизлияниями, выявляемого с определенной частотой у пациентов с портальной гипертензией.

ПГГ является вторичным изменением слизистой оболочки (СО), а также подслизистого слоя желудка на фоне цирроза печени (ЦП) любой этиологии и сопутствующей ему портальной гипертензии. В то же время, данная патология может развиваться при гипертензии не только цирротического, но и любого другого генеза (болезнь Бадда-Киари, внепеченочная окклюзия портальной вены и др.) [1]. Читать далее....



История изучения вопроса.

Эпидемиология.

Патогенез ПГГ.

Клинические проявления.

Диагностика ПГГ.

Классификации.

Морфологическая диагностика.

Другие диагностические методы.

Течение ПГГ.

Кровотечение.

Лечение ПГГ.



СПИСОК ЛІТЕРАТУРИ

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