Gastritis varioliforme y daño hepático crónico: Una inesperada asociación

Background: Varioliform gastritis (VG) is found in approximately 0.3 to 2.8% of upper gastrointestinal endoscopies. Its etiology is not known. We have observed a higher frequency of VG in patients with liver cirrhosis. Aim: To confirm if there is an association between VG and liver cirrhosis. Patien...

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Autores principales:	ROBLERO,JUAN PABLO, ITURRIAGA,HERNÁN, ESTELA,RICARDO
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Endoscopy, digestive system Gastritis Liver cirrhosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000800002
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spelling	oai:scielo:S0034-988720100008000022010-12-21Gastritis varioliforme y daño hepático crónico: Una inesperada asociaciónROBLERO,JUAN PABLOITURRIAGA,HERNÁNESTELA,RICARDO Endoscopy, digestive system Gastritis Liver cirrhosis Background: Varioliform gastritis (VG) is found in approximately 0.3 to 2.8% of upper gastrointestinal endoscopies. Its etiology is not known. We have observed a higher frequency of VG in patients with liver cirrhosis. Aim: To confirm if there is an association between VG and liver cirrhosis. Patients and Methods: Two case-control studies were done. A retrospective study, reviewing the endoscopy database of a gastroenterological unit. A prospective study, identifying cases with the endoscopic diagnosis of VG among all patients referred for upper gastrointestinal endoscopies. The presence of liver cirrhosis, based on clinical, laboratory, ultrasonographic and endoscopic features was registered among patients with VG. Results: VG was found in 549 of 11.659 upper gastrointestinal endoscopies. Fourteen percent of patients with VG had cirrhosis compared to 5.6% in control patients (c² 29,8; p < 0.01). The odds ratio (OR) for having cirrhosis of patients with VG was 9.3 (95% confidence intervals 3.4-25.5, p < 0,01), according to a logistic regression analysis. In the prospective study, that included 1.498 upper gastrointestinal endoscopies, VG was also significantly more common among patients with liver cirrhosis. Conclusions: A higher frequency of VG was found among patients with liver cirrhosis. Therefore, the endoscopic finding of VG should alert physicians to look for the presence of a coexistent liver cirrhosis.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.8 20102010-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000800002es10.4067/S0034-98872010000800002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Endoscopy, digestive system Gastritis Liver cirrhosis
spellingShingle	Endoscopy, digestive system Gastritis Liver cirrhosis ROBLERO,JUAN PABLO ITURRIAGA,HERNÁN ESTELA,RICARDO Gastritis varioliforme y daño hepático crónico: Una inesperada asociación
description	Background: Varioliform gastritis (VG) is found in approximately 0.3 to 2.8% of upper gastrointestinal endoscopies. Its etiology is not known. We have observed a higher frequency of VG in patients with liver cirrhosis. Aim: To confirm if there is an association between VG and liver cirrhosis. Patients and Methods: Two case-control studies were done. A retrospective study, reviewing the endoscopy database of a gastroenterological unit. A prospective study, identifying cases with the endoscopic diagnosis of VG among all patients referred for upper gastrointestinal endoscopies. The presence of liver cirrhosis, based on clinical, laboratory, ultrasonographic and endoscopic features was registered among patients with VG. Results: VG was found in 549 of 11.659 upper gastrointestinal endoscopies. Fourteen percent of patients with VG had cirrhosis compared to 5.6% in control patients (c² 29,8; p < 0.01). The odds ratio (OR) for having cirrhosis of patients with VG was 9.3 (95% confidence intervals 3.4-25.5, p < 0,01), according to a logistic regression analysis. In the prospective study, that included 1.498 upper gastrointestinal endoscopies, VG was also significantly more common among patients with liver cirrhosis. Conclusions: A higher frequency of VG was found among patients with liver cirrhosis. Therefore, the endoscopic finding of VG should alert physicians to look for the presence of a coexistent liver cirrhosis.
author	ROBLERO,JUAN PABLO ITURRIAGA,HERNÁN ESTELA,RICARDO
author_facet	ROBLERO,JUAN PABLO ITURRIAGA,HERNÁN ESTELA,RICARDO
author_sort	ROBLERO,JUAN PABLO
title	Gastritis varioliforme y daño hepático crónico: Una inesperada asociación
title_short	Gastritis varioliforme y daño hepático crónico: Una inesperada asociación
title_full	Gastritis varioliforme y daño hepático crónico: Una inesperada asociación
title_fullStr	Gastritis varioliforme y daño hepático crónico: Una inesperada asociación
title_full_unstemmed	Gastritis varioliforme y daño hepático crónico: Una inesperada asociación
title_sort	gastritis varioliforme y daño hepático crónico: una inesperada asociación
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000800002
work_keys_str_mv	AT roblerojuanpablo gastritisvarioliformeydanohepaticocronicounainesperadaasociacion AT iturriagahernan gastritisvarioliformeydanohepaticocronicounainesperadaasociacion AT estelaricardo gastritisvarioliformeydanohepaticocronicounainesperadaasociacion
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Gastritis varioliforme y daño hepático crónico: Una inesperada asociación

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