Gastrointestinal: Radiofrequency ablation in the management of refractory gastric antral vascular ectasia

Thandassery, RB; Jha, AK; Mk, Goenka

doi:10.1111/jgh.12568

Cited by 2 publications

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“…Like previous studies, this multicentric experience confirmed that RFA with HALO system is effective and safe for the treatment of GAVE. Similarly, other reports showed a good efficacy and safety of the procedure, in the absence of major side effects [ 29 – 32 ]. Only one case reported the occurrence of bacteremia and sepsis after RFA, which were resolved after antibiotic therapy [ 33 ].…”

Section: Resultssupporting

confidence: 59%

Radiofrequency Ablation for Treatment of Refractory Gastric Antral Vascular Ectasia: A Systematic Review of the Literature

Maida¹,

Camilleri²,

Manganaro³

et al. 2017

Gastroenterology Research and Practice

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Background and Study Aims GAVE is an uncommon cause of upper nonvariceal bleeding and often manifests itself as occult bleeding with chronic anemia. To date, the standard of care for GAVE is endoscopic treatment with thermoablative techniques. Despite good technical results, approximately two thirds of patients remain dependent on transfusions after the therapy. One of the emerging and more promising endoscopic treatments for GAVE is radiofrequency ablation (RFA). The aim of this study is to perform a systematic review of literature in order to assess current evidence supporting the effectiveness of this technique for treatment of refractory GAVE. Materials and Methods Through electronic search, we identified 14 records, and after removal of duplicates and irrelevant studies, we selected 10 studies on radiofrequency ablation of GAVE: 4 prospective open-label single-center studies, 1 retrospective multicentric study, and 5 case reports. Results Among all 72 treated patients reported in literature, 74.3% achieved a clinical response, while nonfatal AEs have been reported in 4.2% of cases. Conclusions Despite some qualitative limitations, all literature data support effectiveness of RFA for treatment of refractory GAVE. In the future, large prospective controlled trials with adequate follow-up are needed to better assess the effectiveness and safety of this procedure.

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Section: Resultssupporting

confidence: 59%

Radiofrequency Ablation for Treatment of Refractory Gastric Antral Vascular Ectasia: A Systematic Review of the Literature

Maida¹,

Camilleri²,

Manganaro³

et al. 2017

Gastroenterology Research and Practice

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“…The endoscopic treatment includes laser photoablation, APC, radio-frequency ablation [56], EVL, and cryotherapy. APC is the most common, efficacious, and feasible therapeutic option for the treatment of GAVE (Figure 11b), with a reported efficacy of 90%-100% causing a significant reduction in blood Table 3.…”

Section: Gastric Antral Vascular Ectasia (Gave)mentioning

confidence: 99%

Endoscopy in Management of Portal Hypertension

Shah¹,

Goenka²,

Goenka³

2021

Portal Hypertension - Recent Advances

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Portal hypertension (PH) is a serious consequence of several disease states affecting prehepatic, intrahepatic, or posthepatic portal circulation. Backpressure caused by PH transmits through the collaterals to form varices at various sites. PH also leads to hyperdynamic congestion and altered gastrointestinal mucosal immune response, resulting in portal hypertensive gastropathy (PHG), portal hypertensive enteropathy (PHE), and portal colopathy (PC). These PH associated phenomena may lead to torrential life-threatening bleed or chronic blood loss leading to debilitating chronic anemia. Endoscopy plays a pivotal role in the management of these patients both for diagnostic and therapeutic purpose. The choice of therapeutic strategy depends on many factors: severity of the disease, patient’s clinical performance, and whether it is done as an emergency or as a prophylactic approach. In this chapter, we evaluate the endoscopic management of patients with the gastrointestinal complications of PH.

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Gastrointestinal: Radiofrequency ablation in the management of refractory gastric antral vascular ectasia

Cited by 2 publications

References 0 publications

Radiofrequency Ablation for Treatment of Refractory Gastric Antral Vascular Ectasia: A Systematic Review of the Literature

Radiofrequency Ablation for Treatment of Refractory Gastric Antral Vascular Ectasia: A Systematic Review of the Literature

Endoscopy in Management of Portal Hypertension

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