Long-term effect of argon plasma coagulation (APC) in the treatment of gastric antral vascular ectasia (GAVE)

Gastric antral vascular ectasia (GAVE) is known to be characterized by red patches or spots in a diffuse or linear array in the antrum of the stomach. The precise etiology of GAVE remains to be elucidated. Argon plasma laser coagulation (APC) has been used to control oozing from GAVE; however, there is no satisfactory long-term effect of APC in the control of oozing from GAVE. An acid reducer is used after APC because even physiological acid exposure might delay post-APC ulcer healing. We describe the case of a patient who had used an acid reducer and experienced repeated gastrointestinal hemorrhage due to GAVE. After ceasing to administer the acid reducer, incidences of hospitalization due to oozing from GAVE stopped. After the administration of the acid reducer was restarted, the patient had tarry stool, and diffuse oozing of blood was seen again. We report a first case of GAVE which was aggravated by acid reducer.

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LONG-TERM FOLLOW UP OF GASTRIC ANTRAL VASCULAR ECTASIA TREATED BY ARGON PLASMA COAGULATION

Digestive Endoscopy ◽

10.1111/j.1443-1661.2006.00592.x ◽

2006 ◽

Vol 18 (2) ◽

pp. 128-133 ◽

Cited By ~ 10

Author(s):

Shinichi Nakamura ◽

Atsushi Mitsunaga ◽

Hiroyuki Konishi ◽

Itaru Oi ◽

Keiko Shiratori ◽

...

Keyword(s):

Argon Plasma Coagulation ◽

Argon Plasma ◽

Gastric Antral Vascular Ectasia ◽

Plasma Coagulation ◽

Vascular Ectasia ◽

Long Term Follow Up

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Endoscopic argon plasma coagulation for the treatment of gastric antral vascular ectasia (watermelon stomach): long-term results

Digestive and Liver Disease ◽

10.1016/j.dld.2003.11.028 ◽

2004 ◽

Vol 36 (3) ◽

pp. 212-217 ◽

Cited By ~ 49

Author(s):

S Sebastian ◽

R McLoughlin ◽

A Qasim ◽

C.A O’Morain ◽

M.J Buckley

Keyword(s):

Argon Plasma Coagulation ◽

Argon Plasma ◽

Long Term Results ◽

Gastric Antral Vascular Ectasia ◽

Plasma Coagulation ◽

Watermelon Stomach ◽

Vascular Ectasia

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Long-Term Follow-Up of Gastric Antral Vascular Ectasia Treated by Argon Plasma Coagulation

Gastrointestinal Endoscopy ◽

10.1016/s0016-5107(05)00982-x ◽

2005 ◽

Vol 61 (5) ◽

pp. AB177 ◽

Cited By ~ 1

Author(s):

Shinichi Nakamura ◽

Atsushi Mitsunaga ◽

Itaru Oi ◽

Keiko Shiratori

Keyword(s):

Argon Plasma Coagulation ◽

Argon Plasma ◽

Gastric Antral Vascular Ectasia ◽

Plasma Coagulation ◽

Vascular Ectasia ◽

Long Term Follow Up

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Endoscopic mucosal resection for recurrent gastric antral vascular ectasia

VASA ◽

10.1024/0301-1526.37.3.289 ◽

2008 ◽

Vol 37 (3) ◽

pp. 289-292 ◽

Cited By ~ 5

Author(s):

Katsinelos ◽

Chatzimavroudis ◽

Katsinelos ◽

Panagiotopoulou ◽

Kotakidou ◽

...

Keyword(s):

Endoscopic Mucosal Resection ◽

Argon Plasma Coagulation ◽

Argon Plasma ◽

Deficiency Anemia ◽

Gastric Antral Vascular Ectasia ◽

Therapeutic Approaches ◽

Plasma Coagulation ◽

Vascular Ectasia ◽

Mucosal Resection ◽

First Case

Gastric antral vascular ectasia (GAVE) is an overt or occult source of gastrointestinal bleeding. Despite several therapeutic approaches have been successfully tested for preventing chronic bleeding, some patients present recurrence of GAVE lesions. To the best of our knowledge, we report the first case, of a 86-year-old woman who presented severe iron-deficiency anemia due to GAVE and showed recurrence of GAVE lesion despite the intensive argon plasma coagulation treatment. We performed endoscopic mucosal resection of bleeding GAVE with resolution of anemia.

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