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Observacoes diagnosticas da gastropatia congestiva da hipertesao portal por cirrose alcoolica e por esquistossomose.
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Observacoes diagnosticas da gastropatia congestiva da hipertesao portal por cirrose alcoolica e por esquistossomose.

Author: Cristiane Steponavicius Sobral; Gaspar de Jesus Lopes Filho; Joao Norberto Stavale; Osvaldo Gianotti Filho; Antonio Figueira
Edition/Format:   Article : Portuguese
Publication:Folha médica, Vol. 117, no. 3 (nov.-dez. 1998) p.187-91
Summary:
A gastropatia observada em doentes com hipertensao portal de etiologia cirrotica constitui entidade controversa notadamente quanto a relacao entre os achados endoscopicos e histologicos. Sua importancia clinica fundamenta-se no fato de ser responsabilizada por aproximadamente 30 a 50 por cento das hemorragias digestivas observadas nesses doentes. A observacao dessa entidade em doentes esquistossomoticos com  Read more...
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Document Type: Article
All Authors / Contributors: Cristiane Steponavicius Sobral; Gaspar de Jesus Lopes Filho; Joao Norberto Stavale; Osvaldo Gianotti Filho; Antonio Figueira
OCLC Number: 69916506

Abstract:

A gastropatia observada em doentes com hipertensao portal de etiologia cirrotica constitui entidade controversa notadamente quanto a relacao entre os achados endoscopicos e histologicos. Sua importancia clinica fundamenta-se no fato de ser responsabilizada por aproximadamente 30 a 50 por cento das hemorragias digestivas observadas nesses doentes. A observacao dessa entidade em doentes esquistossomoticos com hipertensao portal e com reserva funcional hepatica preservada e incomum. Macroscopicamente, o endocospista observa edema da mucosa gastrica, e pequenas manchas avermelhadas com aspecto em mosaico. As biopsias revelam ectasia vascular com ou sem inflamacao cronica dos vasos da mucosa e submucosa do estomago. Neste estudo comparou-se prospectivamente 10 doentes com cirrose alcoolica e 10 doentes com hipertensao portal de etiologia esquitossomotica. O grupo controle foi representado por 12 doentes sem doencas hepatica. Os achados endoscopicos e histologicos da mucosa do estomago nao diferiram significantemente entre os doentes cirroticos esquistossomoticos, e o grupo controle. Os autores concluem que ha uma efetiva dificuldade na correlacao diagnostica endoscopica e histopatologica da gastropatia congestiva da hipertensao portal que podera ser melhor definida em casuistica mais numerosa e com tecnica endoscopica de colheita de amostras mais profundas da mucosa do estomago. (AU).

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Primary Entity<\/h3>
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Sua importancia clinica fundamenta-se no fato de ser responsabilizada por aproximadamente 30 a 50 por cento das hemorragias digestivas observadas nesses doentes. A observacao dessa entidade em doentes esquistossomoticos com hipertensao portal e com reserva funcional hepatica preservada e incomum. Macroscopicamente, o endocospista observa edema da mucosa gastrica, e pequenas manchas avermelhadas com aspecto em mosaico. As biopsias revelam ectasia vascular com ou sem inflamacao cronica dos vasos da mucosa e submucosa do estomago. Neste estudo comparou-se prospectivamente 10 doentes com cirrose alcoolica e 10 doentes com hipertensao portal de etiologia esquitossomotica. O grupo controle foi representado por 12 doentes sem doencas hepatica. Os achados endoscopicos e histologicos da mucosa do estomago nao diferiram significantemente entre os doentes cirroticos esquistossomoticos, e o grupo controle. Os autores concluem que ha uma efetiva dificuldade na correlacao diagnostica endoscopica e histopatologica da gastropatia congestiva da hipertensao portal que podera ser melhor definida em casuistica mais numerosa e com tecnica endoscopica de colheita de amostras mais profundas da mucosa do estomago. (AU).<\/span>\"@pt<\/a> ;\u00A0\u00A0\u00A0schema:exampleOfWork<\/a> <http:\/\/worldcat.org\/entity\/work\/id\/53510680<\/a>> ;\u00A0\u00A0\u00A0schema:inLanguage<\/a> \"pt<\/span>\" ;\u00A0\u00A0\u00A0schema:name<\/a> \"Observacoes diagnosticas da gastropatia congestiva da hipertesao portal por cirrose alcoolica e por esquistossomose.<\/span>\"@pt<\/a> ;\u00A0\u00A0\u00A0schema:productID<\/a> \"69916506<\/span>\" ;\u00A0\u00A0\u00A0wdrs:describedby<\/a> <http:\/\/www.worldcat.org\/title\/-\/oclc\/69916506<\/a>> ;\u00A0\u00A0\u00A0\u00A0.<\/div>

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<http:\/\/experiment.worldcat.org\/entity\/work\/data\/53510680#Person\/sobral_cristiane_steponavicius<\/a>> # Cristiane Steponavicius Sobral<\/span>\u00A0\u00A0\u00A0\u00A0a schema:Person<\/a> ;\u00A0\u00A0\u00A0schema:familyName<\/a> \"Sobral<\/span>\" ;\u00A0\u00A0\u00A0schema:givenName<\/a> \"Cristiane Steponavicius<\/span>\" ;\u00A0\u00A0\u00A0schema:name<\/a> \"Cristiane Steponavicius Sobral<\/span>\" ;\u00A0\u00A0\u00A0\u00A0.<\/div>
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<http:\/\/experiment.worldcat.org\/entity\/work\/data\/53510680#Topic\/gastropatias_diag<\/a>> # Gastropatias--Diag<\/span>\u00A0\u00A0\u00A0\u00A0a schema:Intangible<\/a> ;\u00A0\u00A0\u00A0schema:name<\/a> \"Gastropatias--Diag<\/span>\"@pt<\/a> ;\u00A0\u00A0\u00A0\u00A0.<\/div>
<http:\/\/experiment.worldcat.org\/entity\/work\/data\/53510680#Topic\/hipertensao_portal_etiol<\/a>> # Hipertensao portal--Etiol<\/span>\u00A0\u00A0\u00A0\u00A0a schema:Intangible<\/a> ;\u00A0\u00A0\u00A0schema:name<\/a> \"Hipertensao portal--Etiol<\/span>\"@pt<\/a> ;\u00A0\u00A0\u00A0\u00A0.<\/div>
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