Treating Gastric Antral Vascular Ectasia: When Argon Therapy Is Not Enough

Detalhes bibliográficos
Autor(a) principal: Castro,Francisca Dias de
Data de Publicação: 2016
Outros Autores: Carvalho,Pedro Boal, Gonçalves,Tiago Cúrdia, Magalhães,Joana, Moreira,Maria João, Marinho,Carla, Cotter,José
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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spelling 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
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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
instname_str 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
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