Sclerotherapy for the Treatment of Gastric Antral Vascular Ectasia in Case of Contraindications to Argon Plasma Coagulation
نویسندگان
چکیده
Gastric antral vascular ectasia (GAVE) is a rare cause of chronic gastro-intestinal hemorrhage. GAVE can be observed in patients with cirrhosis and it is involved in several cases of persistent anemia, sometimes requiring blood transfusions due to the severity of anemia. Argon Plasma Coagulation (APC) has been proven to be effective and safe in the treatment of GAVE, the only contraindications being the presence of a pacemaker or defibrillator, susceptibility to electrical interference. We here report the case of a patient bleeding from GAVE with contraindications to use of APC. In this patient sclerotherapy with Polidocanol proved to be safe and effective endoscopic procedure, representing a potential alternative to Endoscopic Band Ligation (EBL).
منابع مشابه
Refractory gastric antral vascular ectasia: a new endoscopic approach.
Gastric antral vascular ectasia (GAVE) is an uncommon disorder observed in patients with liver cirrhosis, causing upper gastro-intestinal haemorrhage. GAVE is diagnosed through esophagogastroduodenoscopy and is characterized by the presence of visible columns of red tortuous enlarged vessels along the longitudinal folds of the antrum (i.e., so-called watermelon stomach). Pharmacological, endosc...
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