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1.
Prensa méd. argent ; Prensa méd. argent;108(6): 309-313, 20220000. fig
Article in Spanish | LILACS, BINACIS | ID: biblio-1397193

ABSTRACT

La ectasia vascular antral gástrica (GAVE) ha sido reconocida como una de las causas importantes de hemorragia gastrointestinal oculta y oscura. El diagnóstico generalmente se realiza en función de los rasgos endoscópicos característicos, incluida la fila longitudinal de rayas planas y rojizas que irradian desde el píloro hacia el antro que se asemejan a las rayas de una sandía (Watermelon). Estas apariencias, pueden ser fácilmente malinterpretadas como una gastritis de moderada a severa. El diagnóstico del síndrome GAVE en pacientes con enfermedad renal o hepática suele ser problemático porque hay causas más frecuentes de hemorragia gastrointestinal en estas enfermedades como, por ejemplo, malformaciones vasculares, enfermedad ulcerosa péptica, várices esofágicas o gástricas y úlceras colónicas y rectales que eclipsan al síndrome GAVE. Creemos que el tratamiento quirúrgico es una modalidad cuando los diferentes métodos, no pudieron tratar de solucionar esta patología del GAVE. Probablemente en nuestro medio necesitamos más sospecha clínica de esta patología, como así mismo mayor experiencia en los tratamientos endoscópicos de tipo terapéuticos. Ante la falla de estos métodos, la cirugía , ya sea laparoscópica o convencional siguen teniendo lugar en la resolución de estos pacientes con patología poco común.


Gastric antral vascular ectasia (Gave) has been recognized as one of the important causes of hidden and dark gastrointestinal hemorrhage. The diagnosis is generally performed based on the characteristic endoscopic features, including the longitudinal row of flat and reddish stripes that radiate from the pylorus to the antrum that resemble the stripes of a watermelon (watermelon). These appearances can be easily misunderstood as moderate to severe gastritis. The diagnosis of the Gave syndrome in patients with renal or hepatic disease is usually problematic because there are more frequent causes of gastrointestinal bleeding in these diseases such as vascular malformations, peptic ulcerative disease, esophageal or gastric veins and colonic and rectal ulcers that eclipsan al Gave syndrome. We believe that surgical treatment is a modality when the different methods could not try to solve this pathology of the Gave. Probably in our environment we need more clinical suspicion of this pathology, as well as more experience in therapeutic endoscopic treatments. Given the failure of these methods, surgery, whether laparoscopic or conventional continue to take place in the resolution of these patients with unusual pathology.


Subject(s)
Humans , Female , Aged , Aged, 80 and over , Laparoscopy , Gastric Antral Vascular Ectasia/pathology , Gastric Antral Vascular Ectasia/therapy , Endoscopy
3.
Surg Laparosc Endosc Percutan Tech ; 25(1): 79-82, 2015 Feb.
Article in English | MEDLINE | ID: mdl-24743681

ABSTRACT

Gastric antral vascular ectasia (GAVE) is a rare but an important cause of gastrointestinal bleeding and anemia. Endoscopic ablation is usually successful, but treatment-refractory cases occur. We have used radiofrequency ablation (RFA) with the HALO device in these cases with positive results. Nine patients (5 female patients) with refractory GAVE were treated with RFA. Four had GAVE associated with cirrhosis, 4 had renal insufficiency, and 1 had both cirrhosis and renal insufficiency. Patients had received multiple endoscopic treatments before undergoing RFA over a period of up to 2 years (median 4; range, 2 to 15 y). A total of 2 to 6 (median 3) RFA sessions were performed until GAVE eradication. Endoscopic ablation was achievable in all patients. There were no complications of the treatments. Seven of the 9 patients had sustained response to RFA over a median follow-up of 11 months (range, 6 to 21 mo).


Subject(s)
Catheter Ablation , Endoscopy , Gastric Antral Vascular Ectasia/surgery , Gastrointestinal Hemorrhage/prevention & control , Aged , Cohort Studies , Female , Gastric Antral Vascular Ectasia/complications , Gastric Antral Vascular Ectasia/pathology , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/pathology , Humans , Liver Cirrhosis/complications , Male , Middle Aged , Renal Insufficiency/complications , Treatment Outcome
4.
Rev Med Chil ; 129(5): 547-51, 2001 May.
Article in Spanish | MEDLINE | ID: mdl-11464537

ABSTRACT

BACKGROUND: Gastric Antral Vascular Ectasia or Watermelon stomach is a rare cause of chronic gastrointestinal bleeding, often presenting as a chronic iron deficiency anemia. This condition can be associated with some other diseases such as cirrhosis, autoimmune diseases and others. We report two patients treated with Argon Plasma Coagulation, a 68 years old male with an ethanol related cirrhosis and a 72 years old female with an idiopathic Gastric Antral Vascular Ectasia. The characteristic endoscopic features were mistaken for many years as gastritis. Both patients presented with severe anemia requiring multiple transfusions as treatment. Due to the poor operative risk, both patients were treated with Argon Plasma Coagulation with good results.


Subject(s)
Gastric Antral Vascular Ectasia/surgery , Laser Coagulation/methods , Aged , Anemia/complications , Argon , Female , Follow-Up Studies , Gastric Antral Vascular Ectasia/complications , Gastric Antral Vascular Ectasia/pathology , Gastrointestinal Hemorrhage/etiology , Gastroscopy , Humans , Male
5.
Gastroenterol. latinoam ; 11(1): 58-62, mar. 2000. ilus
Article in Spanish | LILACS | ID: lil-277220

ABSTRACT

Se discute el caso de una paciente mujer de 70 años que cursa más de 3 años con anemia ferropriva intensa, progresiva y recidivante, cuyo estudio revela como único hallazgo, entre los múltiples exámenes realizados, la presencia en la endoscopía digestiva alta de un antro gástrico edematoso, con erosiones longitudinales, de aspecto hemorrágico. El tratamiento médico en base a bloqueadores de la secreción gástrica no es exitoso. La paciente es sometida a cirugía practicándose una hemigastrectomía distal. La evolución alejada de la paciente es muy satisfactoria. La reevaluación clínica y anátomo patológica posterior demuestra que se trata de una ectasia vascular gástrica antral. (Watermelon stomach). Se revisa los antecedentes de la literatura y la terapéutica utilizada


Subject(s)
Humans , Female , Aged , Anemia, Iron-Deficiency/etiology , Gastric Antral Vascular Ectasia/complications , Gastric Antral Vascular Ectasia/surgery , Gastric Antral Vascular Ectasia/pathology
6.
Rev. méd. Panamá ; 22(2): 13-5, May-Sept. 1997.
Article in Spanish | LILACS | ID: lil-409862

ABSTRACT

A patient with vascular ectasia of the gastric antrum is presented. This abnormality caused him anemia, treated with packed red cells. He received hormonal treatment during two weeks, but he did not improve. Therefore, an antrectomy with vagectomy, and a gastroduodenal anastomosis Billroth type I were performed


Subject(s)
Humans , Male , Aged , Gastric Antral Vascular Ectasia/pathology , Gastric Antral Vascular Ectasia/therapy
7.
Rev Med Panama ; 22(2): 13-5, 1997.
Article in Spanish | MEDLINE | ID: mdl-10997182

ABSTRACT

A patient with vascular ectasia of the gastric antrum is presented. This abnormality caused him anemia, treated with packed red cells. He received hormonal treatment during two weeks, but he did not improve. Therefore, an antrectomy with vagectomy, and a gastroduodenal anastomosis Billroth type I were performed.


Subject(s)
Gastric Antral Vascular Ectasia/pathology , Aged , Gastric Antral Vascular Ectasia/therapy , Humans , Male
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