Last week we discussed radiation proctitis and how it's basically a form of lower GI bleeding that happens from radiation exposure and the radiation is meant to be from a good cause. It's a therapeutic regiment, and this is a long-term squale.

There are also other sequoale of diseases that we have to be worried about.

The one that we discussed in great detail were liver diseases, and when we went through the

entire liver series, we talked about the

end point of uncontrolled chronic liver disease being cirrhosis. This week we're

going to be talking about a form of GI bleeding that's actually tied to cirrhosis. It's known as portal

hypertensive gastropathy and for your patients they can present with

ematemesis that usually takes the form of coffee ground amasis or they can present with chronic anemias that are iron deficient

and at times they can even have melana.

So let's get ready to talk about another topic this week called portal hypertensive

gastropathy.

I'm Dr. Nakedz-Son-Paul, your friendly neighborhood internistensive gastropathy. I'm Dr. Nikit San Paul, your friendly neighborhood internist and

gastrantroologist, so get ready and cue that music, my man. Now portal hypertensive gastropathy does develop in the setting of chronic liver injury specifically with cirrhosis and it's because of a combination of increased resistance to portal blood flow and increases in

portal blood flow. It's a big traffic jam in the stomach and we're gonna get

into the actual reason why it happens. But remember there are a lot of other

cirrhotic sequelae like hepatic encephalopathy and aisides,

and here is just another one in addition to things like varisial hemorrhage,

hepatal pulmonary syndrome, a paterinal syndrome.

So why are we talking about it specifically?

Well, it turns out the epidemiology is kind of crazy.

When you take a look at the studies, it turns out that the estimate of its occurrence and

incidents ranges in some papers to be 20% up to 98% of patients who have cirrhosis.

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