Abstract:
:We report two cirrhotic patients with gastric antral vascular ectasia (GAVE) in whom chronic blood loss presented a major problem. Case 1, a 69-year-old man, had alcoholic liver cirrhosis, and case 2, a 75-year-old woman, had liver cirrhosis associated with hepatitis C virus. The patients required repeated blood transfusions but still exhibited persistent anemia. On upper gastrointestinal endoscopy, both patients showed esophageal varices without stigmata of bleeding or red color signs and presented with a characteristic antral appearance so distinctive as to be diagnostic; diffuse erythemas consisting of ectatic and tortuous capillaries throughout the antrum. Endoscopic electrocoagulation treatment with a monopolar probe was effective for controlling blood loss from GAVE. The patients tolerated the procedure well and there were no resultant complications. Several sessions of the treatment resulted in eradication of almost all the vascular lesions, negative fecal occult blood test results, and marked alleviation of their anemia without further treatment. Endoscopic electrocoagulation is suggested to be a safe, non-invasive, and effective treatment for blood loss from GAVE, especially in patients with liver cirrhosis in whom surgery carries an increased risk.
journal_name
J Gastroenteroljournal_title
Journal of gastroenterologyauthors
Yamada M,Nishimura D,Hoshino H,Katada N,Sano H,Kato Kdoi
10.1007/s005350050130subject
Has Abstractpub_date
1998-08-01 00:00:00pages
546-9issue
4eissn
0944-1174issn
1435-5922journal_volume
33pub_type
杂志文章abstract:BACKGROUND:Autoimmune pancreatitis (AIP) is considered to be a pancreatic lesion of IgG4-related systemic disease, but about 20% of AIP patients do not have elevated serum IgG4 levels. This study aimed to clarify the pathophysiology of AIP patients without elevated serum IgG4 levels. METHODS:Fifty-eight AIP patients w...
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pub_type: 杂志文章,评审
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更新日期:2002-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s00535-010-0296-3
更新日期:2011-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:1995-04-01 00:00:00
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journal_title:Journal of gastroenterology
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2011-07-01 00:00:00
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pub_type: 杂志文章,评审
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