Ladislav Kužela, Marian Oltman
Portal hypertensive gastropathy (PHG), a term used to describe the endoscopic appearance of gastric mucosa with a characteristic mosaic-like pattern with or without red spots, is a common finding in patients with portal hypertension. The wide variation in the reported prevalence of PHG is probably related to absence of uniform criteria and classification. Pathogenesis of PHG is not clearly defined, but there is a very close relationship between portal hypertension and development of PHG. Acute bleeding from PHG, seen usually in the presence of severe PHG, is often mild. Currently, the only treatment that could be recommended for prophylaxis of bleeding from PHG is nonselective β-blockers.