• Often asymptomatic and are diagnosed when endoscopy is performed for other reasons
  • Mucosa in the setting of PHG is friable, bleeding may occur when ectatic vessels rupture
  • Endoscopy
    • A mosaic-like or “snakeskin” appearance of the gastric mucosa, predominantly in the fundus and body)

Treatment

  • Primary prophylaxis with nonselective beta blocker
  • Refractory bleeding - TIPSS