Comparison Between Argon Plasma Coagulation And Endoscopic Band Ligation InTreatment Of Gastric Antral Vascular Ectasia In Egyptian Cirrhotic Patients

Amer, Kamal; Wahab, Naglaa Abd El; Ibrahim, Ahmed

doi:10.21608/aeji.2019.12560.1024

Cited by 3 publications

(14 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Five observational studies, 22,[32][33][34][35] one review, 5 and one study 36 with duplicate data were excluded. A total of four randomized controlled trials [37][38][39][40] met the inclusion criteria, including a total of 204 patients, comparing EBL with APC (102 patients in each group) (Fig. 1).…”

Section: Literature Search Results and Characteristics Of Included Studiesmentioning

confidence: 99%

“…In total, 116 patients from three studies were analyzed [ 37 , 39 , 40 ]. EBL had a higher endoscopic eradication rate than that of APC (RD, 0.29; 95% CI [0.14, 0.44]; p =0.0001; I 2 =0%) ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…In total, 116 patients from three studies were analyzed [ 37 , 39 , 40 ]. EBL presented less recurrence of bleeding than that of the APC group (RD, 0.29; 95% CI [0.15, 0.44]; p <0.0001; I 2 =0%) ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The overall risk of bias is shown in Supplementary Table 2. One 40 of the four studies [37][38][39][40] described "alternatively randomization" without specifying how it was performed. After contacting the author, randomization was judged to have been performed appropriately.…”

Section: Risk Of Bias and Quality Of Studiesmentioning

confidence: 99%

“…In total, 204 patients from four studies were analyzed. [37][38][39][40] The number of sessions required for complete obliteration of the lesions was higher in the APC group (MD, 1.38; 95% CI [0.35, 2.42]; p=0.009; I 2 = 94%) (Fig. 5).…”

Section: Number Of Sessionsmentioning

confidence: 99%

See 4 more Smart Citations

Endoscopic Band Ligation Versus Argon Plasma Coagulation in the Treatment of Gastric Antral Vascular Ectasia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2021

View full text Add to dashboard Cite

INTRODUCTIONGastric antral vascular ectasia (GAVE) is a condition characterized by vascular lesions usually located in the antrum, typically leading to occult or overt bleeding. It accounts for up to 4% of all non-variceal upper gastrointestinal bleeding and can be present in 6-14% of patients with cirrhosis. 1,2 Patients commonly present with chronic iron deficiency anemia, and up to 62% of patients can become transfusion-dependent. 3 Diagnosis is usually established using esophagogastroduodenoscopy (EGD); however, ambiguous cases require histologic assessment. [4][5][6] Endoscopically, it may present with three different patterns: stripes radiating to the pylorus (classically called "watermelon stomach, " more common in non-cirrhotic patients), diffuse punctate lesions (more common in cirrhotic patients), and a nodular type. 7,8 Pharmacological therapies have been shown to have limited benefit. 9-12 Antrectomy has a higher morbidity and mortality. 5

show abstract

Section: Literature Search Results and Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Risk Of Bias and Quality Of Studiesmentioning

confidence: 99%

Section: Number Of Sessionsmentioning

confidence: 99%

See 3 more Smart Citations

Endoscopic Band Ligation Versus Argon Plasma Coagulation in the Treatment of Gastric Antral Vascular Ectasia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2021

View full text Add to dashboard Cite

show abstract

Endoscopic treatment of gastric antral vascular ectasia

Hirsch

Ribeiro

Funari

et al. 2022

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field, to standardize how to conduct, and to assist in the reasoning and decision-making of doctors. The information provided by this project must be critically evaluated by the physician responsible for the conduct that will be adopted depending on the conditions and the clinical condition of each patient. Guideline conclusion: April 2021. Societies: Sociedade Brasileira de Endoscopia Digestiva.

show abstract

Argon Plasma Coagulation Versus Band Ligation in Gastric Antral Vascular Ectasia in Chronic HCV-Related Liver Cirrhosis

El-Hasafy,

Amin,

Ahmed

et al. 2022

Journal of the Medical Research Institute

View full text Add to dashboard Cite

Background and aim: Gastric antral vascular ectasia (GAVE) is a rare but serious cause of upper gastrointestinal bleeding. Argon plasma coagulation (APC) is used to treat GAVE, with considerable failure rate. The present study aimed to compare between APC and endoscopic band ligation (EBL) for GAVE treatment in HCV-related liver cirrhosis patients regarding efficacy and safety. Patients and methods:The study included thirty patients with chronic HCVrelated liver cirrhosis diagnosed with GAVE divided into two groups: group(1) 15 patients subjected to APC, group(2)15 patient had EBL . Patients were followed up for 3 months with upper gastrointestinal (GI) endoscope, re-evaluation of their clinical status, complications and hemoglobin level. Results: EBL group patients had statistically significant less number of treatment sessions (2.80 ± 0.770) vs. (4.87 ± 1.13) for APC group; (p=0.001).). EBL had significantly lower rate of recurrence during treatment and follow up period, less blood transfusion and hospitalization than APC group; (p<0.05) In the first month, hemoglobin level was not significantly different in both groups, but within the second and third months follow up, hemoglobin level of EBL group showed persistent increase; (p<0.001) Conclusion: Endoscopic band ligation is superior to argon plasma coagulation for GAVE treatment regarding less bleeding recurrence, less number of sessions needed, better hemoglobin level improvement, less blood transfusion, hospitalization and less major complications.

show abstract

Comparison Between Argon Plasma Coagulation And Endoscopic Band Ligation InTreatment Of Gastric Antral Vascular Ectasia In Egyptian Cirrhotic Patients

Cited by 3 publications

References 22 publications

Endoscopic Band Ligation Versus Argon Plasma Coagulation in the Treatment of Gastric Antral Vascular Ectasia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Endoscopic Band Ligation Versus Argon Plasma Coagulation in the Treatment of Gastric Antral Vascular Ectasia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Endoscopic treatment of gastric antral vascular ectasia

Argon Plasma Coagulation Versus Band Ligation in Gastric Antral Vascular Ectasia in Chronic HCV-Related Liver Cirrhosis

Contact Info

Product

Resources

About