OBJECTIVES: The specific aim of this study was to independently evaluate the reproducibility and validity of the Baveno portal hypertensive gastropathy (PHG) grading system. METHODS: This is a prospective study of 100 consecutive @entity1 with @entity82 and @entity26566 . An endoscopy was performed at entry on all subjects and on 70 @entity1 during follow-up (median 15 months). Interobserver reproducibility was assessed by the kappa statistic. @entity1 with PHG-related @entity548 were compared with those without @entity548 . The relationship of PHG-related @entity548 to the PHG score was assessed by a receiver operating characteristic curve and by multiple logistic regression analysis. RESULTS: Interobserver agreement about the presence of the mosaic pattern and red marks was high (kappa >0.75). However, the agreement about the extent of the lesion was poorer (kappa = 0.4-0.45). There was a stepwise increase in PHG-related @entity548 risk with increasing PHG scores. Multiple logistic regression confirmed that the PHG score independently correlated with PHG-associated @entity548 (OR = 2.5, 90% CI = 1.4-4.6, p < 0.009). During follow-up, red marks developed de novo in one of 70 @entity1 . The severity of red marks worsened in five of 25 @entity1 , whereas they disappeared in eight of 62 individuals. Nodular lesions in the antrum were found in five subjects. The risks of recurrent @entity548 during follow-up were related to severe PHG scores (>4), presence of @entity19789 , and nodular lesions in the antrum. CONCLUSIONS: The PHG scoring system is reproducible and accurately reflects the risks of PHG-related @entity548 in @entity1 with @entity82 .

Grading XXXX : validation of a gastropathy scoring system.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity82 :: ('MESH:D005355', 'Disease') :: ['cirrhosis'] @entity19789 :: ('MESH:D020252', 'Disease') :: ['gastric antral vascular ectasia'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity26566 :: ('MESH:D006975', 'Disease') :: ['portal gastropathy']
@entity26566 :: (MESH:D006975,Disease) :: ['portal gastropathy']
