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Portal Hypertensive Gastropathy

Radiographic Findings in Eight Patients

David Chang1, Marc S. Levine1, Gregory G. Ginsberg2, Stephen E. Rubesin1 and Igor Laufer1

1 Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.
2 Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.



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  		Fig. 1. —56-year-old woman with portal hypertensive gastropathy caused by nonalcoholic hepatic steatosis and hepatitis. Lateral radiograph of stomach obtained during double-contrast upper gastrointestinal study shows thickened nodular folds in gastric fundus.

 


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  		Fig. 2. —61-year-old man with portal hypertensive gastropathy caused by alcoholic cirrhosis. Lateral radiograph of stomach obtained during double-contrast upper gastrointestinal study shows slightly thickened nodular folds in gastric fundus, which is not optimally distended. Note undulating contour and indistinct borders of folds.

 


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  		Fig. 3. —46-year-old man with portal hypertensive gastropathy caused by primary sclerosing cholangitis. Lateral radiograph of stomach obtained during single-contrast upper gastrointestinal study shows thickened nodular folds in gastric fundus. Note similarity to radiographic findings in Figures 1 and 2.

 


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  		Fig. 4. —72-year-old man with gastric varices caused by portal hypertension. Lateral radiograph of stomach obtained during double-contrast upper gastrointestinal study shows typical findings of varices with serpentine folds and submucosal nodules (arrows) in fundus.

 

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