Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500004 |
Resumo: | Gastric antral vascular ectasia (GAVE) is a capillary-type vascular malformation of the gastric antrum and an infrequent cause of chronic gastrointestinal blood loss and iron deficiency anemia. The authors describe a case report of GAVE in a female cirrhotic patient presenting with severe symptomatic iron deficiency anemia. After failure of argon plasma coagulation (APC), the patient was treated with endoscopic band ligation (EBL) with resolution of anemia, without new episodes of rebleeding and no need for further hospitalizations or transfusion requirements. Even though APC is the current treatment of choice for GAVE recurrence-free survival at one year is achieved in less than 50% of the patients and failed therapy has been described in up to 14% of the patients. EBL has been reported to be a relatively easy technique for GAVE therapy and has been shown to be safe and effective with lower complication rates in comparison with APC. This technique may in the future be used as the initial endoscopic treatment to eradicate GAVE. |
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Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not EnoughEndoscopy GastrointestinalGastric Antral Vascular EctasiaArgon Plasma CoagulationLigationGastric antral vascular ectasia (GAVE) is a capillary-type vascular malformation of the gastric antrum and an infrequent cause of chronic gastrointestinal blood loss and iron deficiency anemia. The authors describe a case report of GAVE in a female cirrhotic patient presenting with severe symptomatic iron deficiency anemia. After failure of argon plasma coagulation (APC), the patient was treated with endoscopic band ligation (EBL) with resolution of anemia, without new episodes of rebleeding and no need for further hospitalizations or transfusion requirements. Even though APC is the current treatment of choice for GAVE recurrence-free survival at one year is achieved in less than 50% of the patients and failed therapy has been described in up to 14% of the patients. EBL has been reported to be a relatively easy technique for GAVE therapy and has been shown to be safe and effective with lower complication rates in comparison with APC. This technique may in the future be used as the initial endoscopic treatment to eradicate GAVE.Sociedade Portuguesa de Gastrenterologia2016-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500004GE-Portuguese Journal of Gastroenterology v.23 n.5 2016reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500004Castro,Francisca Dias deCarvalho,Pedro BoalGonçalves,Tiago CúrdiaMagalhães,JoanaMoreira,Maria JoãoMarinho,CarlaCotter,Joséinfo:eu-repo/semantics/openAccess2024-02-06T17:33:42Zoai:scielo:S2341-45452016000500004Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:35:58.050823Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough |
title |
Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough |
spellingShingle |
Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough Castro,Francisca Dias de Endoscopy Gastrointestinal Gastric Antral Vascular Ectasia Argon Plasma Coagulation Ligation |
title_short |
Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough |
title_full |
Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough |
title_fullStr |
Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough |
title_full_unstemmed |
Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough |
title_sort |
Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough |
author |
Castro,Francisca Dias de |
author_facet |
Castro,Francisca Dias de Carvalho,Pedro Boal Gonçalves,Tiago Cúrdia Magalhães,Joana Moreira,Maria João Marinho,Carla Cotter,José |
author_role |
author |
author2 |
Carvalho,Pedro Boal Gonçalves,Tiago Cúrdia Magalhães,Joana Moreira,Maria João Marinho,Carla Cotter,José |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Castro,Francisca Dias de Carvalho,Pedro Boal Gonçalves,Tiago Cúrdia Magalhães,Joana Moreira,Maria João Marinho,Carla Cotter,José |
dc.subject.por.fl_str_mv |
Endoscopy Gastrointestinal Gastric Antral Vascular Ectasia Argon Plasma Coagulation Ligation |
topic |
Endoscopy Gastrointestinal Gastric Antral Vascular Ectasia Argon Plasma Coagulation Ligation |
description |
Gastric antral vascular ectasia (GAVE) is a capillary-type vascular malformation of the gastric antrum and an infrequent cause of chronic gastrointestinal blood loss and iron deficiency anemia. The authors describe a case report of GAVE in a female cirrhotic patient presenting with severe symptomatic iron deficiency anemia. After failure of argon plasma coagulation (APC), the patient was treated with endoscopic band ligation (EBL) with resolution of anemia, without new episodes of rebleeding and no need for further hospitalizations or transfusion requirements. Even though APC is the current treatment of choice for GAVE recurrence-free survival at one year is achieved in less than 50% of the patients and failed therapy has been described in up to 14% of the patients. EBL has been reported to be a relatively easy technique for GAVE therapy and has been shown to be safe and effective with lower complication rates in comparison with APC. This technique may in the future be used as the initial endoscopic treatment to eradicate GAVE. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-10-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500004 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
GE-Portuguese Journal of Gastroenterology v.23 n.5 2016 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799137412304076800 |