Argon Plasma Coagulation in the Management of Symptomatic Gastrointestinal Vascular Lesions: Experience in 100 Consecutive Patients with Long-Term Follow-Up

Kwan, Vu; Bourke, Michèle; Williams, Susan; Gillespie, Peter E.; Murray, Margaret; Kaffes, Arthur J.; Henríquez, M. Sosa; Chan, Rafael C.

doi:10.1111/j.1572-0241.2006.00370.x

Cited by 197 publications

(114 citation statements)

References 18 publications

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“…Low wattage (20-25 W, dependent on technical equipment) is usually recommended and technical modes allow for safe use of APC in the thin walled small intestine such as pulsed or precise APC. 17 Even though prospective controlled studies are not available, retrospective data support the use of APC in angiectasias in the upper and lower GI tract 18 and in the small bowel; Table 4. Treatment of all demonstrable vascular lesions seems essential for long lasting benefit.…”

Section: Treatment Of Small Bowel Bleedingmentioning

confidence: 99%

Interventional balloon-enteroscopy

Albert¹

2012

jig

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Section: Treatment Of Small Bowel Bleedingmentioning

confidence: 99%

Interventional balloon-enteroscopy

Albert¹

2012

jig

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“…32 In a study of 26 patients treated with APC, transfusion requirement elimination was seen in 77% over a mean follow-up of 16 months. 33 The benefit of APC lies in the consideration that the depth of penetration can be easily controlled, thus avoiding excessive blood loss. We used this modality in both of our patients, with significant improvement in bleeding.…”

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confidence: 99%

Gastric Antral Vascular Ectasia: Case Report and Review of the Literature

Kar

Mitra

Resnick

et al. 2012

Clinical Medicine & Research

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Gast ric antral vascular ectasia (GAVE) is a rare cause of upper gastrointestinal (GI) bleeding, accounting for 4% of nonvariceal upper GI bleeding and associated with occult bleeding that manifests as iron deficiency anemia. 1 In recent years, it has emerged as a distinctive, well-defined entity within the spectrum of acquired vasculopathies of the stomach.We report two cases of GAVE presenting with two different endoscopy findings. We discuss the etiology, endoscopic features, histology, pathogenesis, and management options of this rare entity, and present a review of the pertinent literature. Case 1A man, age 57 years, presented with a one-week history of hematemesis. He described three episodes of coffee ground emesis, about a half-cupful on each occasion. The most recent episode occurred on the day of admission. His past medical history was significant for alcoholic cirrhosis with portal hypertension. He had an episode of hematochezia in the past that was diagnosed as a diverticular bleed on colonoscopy. His social history was significant for alcohol abuse, but he had quit drinking about 10 years prior.His vital signs showed a temperature of 98.9 o F, pulse 102 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 120/79 mm Hg. Physical examination revealed a pale, jaundiced, malnourished male with ascites, pedal edema, and bilateral basal crackles. Initial laboratory studies were significant for hemoglobin of 8.8 gm/dL (reference range 12.9-17.3 g/dL). Serum liver tests Gastric antral vascular ectasia is the source of up to 4% of nonvariceal upper gastrointestinal bleeding. It can present with occult bleeding requiring transfusions or with acute gastrointestinal bleeding. It is associated with significant morbidity and mortality and has been associated with such underlying chronic diseases as scleroderma, diabetes mellitus, and hypertension. Approximately 30% of cases are associated with cirrhosis. We report two cases of gastric antral vascular ectasia with two strikingly different endoscopic appearances. We further describe the clinical, endoscopic, histologic, and therapeutic aspects of this entity.

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“…Despite some contrary opinion 10 , APC should probably be the treatment of choice for GAVE due to the diffuse nature and superficial location of the lesion 20,21 . APC is well tolerated and safe because it produces only shallow tissue injury 22 . Usually several sessions are needed, but requirements of blood transfusions are generally diminished in the large majority of patients 23,24,25 .…”

Section: Discussionmentioning

confidence: 99%

Watermelon stomach, hemorrhagic pericarditis, small cell carcinoma of the lung and synchronous squamous cell carcinoma of the tongue base

Murinello

Damásio

Figueiredo³

et al. 2010

Revista Portuguesa de Pneumologia (English Edition)

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ResumoBaseados num caso de gastropatia antral com ectasia vascular (estômago em melancia) associado a pericardite hemorrágica e a um carcinoma de pequenas células do pulmão com metástases ganglionares ao longo do mediastino e a um carcinoma pavimentocelular sín-crono da base da língua, os autores fazem uma revisão dos aspectos clínicos, endoscópicos e histopatológicos deste tipo de gastropatia, da sua associação a outras doenças e das possibilidades terapêuticas actuais por via endoscópica. Referem-se igualmente as causas mais frequentes de pericardite hemorrágica, salientando-se a AbstractBased on a case of gastric antral vascular ectasia (watermelon stomach) that was associated with hemorrhagic pericarditis, small cell lung carcinoma with mediastinal lymph node metastases and a synchronous squamous cell carcinoma of the base of the tongue, the authors made a review of the clinical, endoscopic and histopathological aspects of this type of gastropathy, and its association with other diseases, and of the results of its endoscopic therapy. The causes of hemorrhagic pericarditis are considered, emphasizing the necessity to know if the effusion has Estômago em melancia, pericardite hemorrágica, tumor de pequenas células do pulmão e carcinoma pavimentocelular síncrono da base da língua Watermelon stomach, hemorrhagic pericarditis, small cell carcinoma of the lung and synchronous squamous cell carcinoma of the tongue base

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Argon Plasma Coagulation in the Management of Symptomatic Gastrointestinal Vascular Lesions: Experience in 100 Consecutive Patients with Long-Term Follow-Up

Abstract: APC is effective and safe in the management of gastrointestinal vascular lesions.

Cited by 197 publications

References 18 publications

Interventional balloon-enteroscopy

Interventional balloon-enteroscopy

Gastric Antral Vascular Ectasia: Case Report and Review of the Literature

Watermelon stomach, hemorrhagic pericarditis, small cell carcinoma of the lung and synchronous squamous cell carcinoma of the tongue base

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