Gastric Hemangioma Treated with Argon Plasma Coagulation in a Newborn Infant / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
; : 134-137, 2017.
Article
em En
| WPRIM
| ID: wpr-27204
Biblioteca responsável:
WPRO
ABSTRACT
Gastric hemangioma in the neonatal period is a very rare cause of upper gastrointestinal bleeding. We present a case of hemangioma limited to the gastric cavity in a 10-day-old infant. A huge, erythematous mass with bleeding was observed on the lesser curvature side of the upper part of the stomach. Surgical resection was ruled out because the location of the lesion was too close to the gastroesophageal junction. Medical treatment with intravenous H₂ blockers, octreotide, packed red blood cell infusions, local epinephrine injection at the lesion site, application of hemoclip, and gel-form embolization of the left gastric artery did not significantly alter the transfusion requirement. Hemostasis was achieved with endoscopic argon plasma coagulation (APC). After two sessions of APC, complete removal of the lesion was achieved. APC was a simple, safe and effective tool for hemostasis and the ablation of gastric hemangioma without significant complications.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Argônio
/
Artérias
/
Estômago
/
Octreotida
/
Epinefrina
/
Eritrócitos
/
Junção Esofagogástrica
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Coagulação com Plasma de Argônio
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Hemangioma
/
Hemorragia
Limite:
Humans
/
Infant
/
Newborn
Idioma:
En
Revista:
Pediatric Gastroenterology, Hepatology & Nutrition
Ano de publicação:
2017
Tipo de documento:
Article