Abstract | BACKGROUND AND OBJECTIVE: MATERIAL AND METHODS: A retrospective review of GAVE patients treated with APC and followed up for a minimum of 24 months was done. RESULTS: Eighteen patients (mean age 67,16+/-13,53; 11 women) were included. Five initially presented with acute bleeding and 13 with anemia. GAVE eradication was achieved over 3.38+/-1,4 sessions per patient. There were no major complications. Five patients had mild bleeding and 11 complained of abdominal pain, that was self-limited during treatment. Seven patients relapsed (39%); 3 of them with melenae and 4 with anemia. Two patients with hypergastrinemia developed hyperplastic polyps. No differences were found between relapsers and non-relapsers. CONCLUSIONS: APC is a safe and effective technique for the treatment of GAVE. The recurrence rates increase gradually over time. Early action on recurrence would require improved clinical follow-up and blood test monitoring.
|
Authors | Juan-Salvador Baudet, Dacil Díaz-Bethencourt, Marta Soler, Milagros Vela, Silvia Morales, Juan Avilés |
Journal | Medicina clinica
(Med Clin (Barc))
Vol. 133
Issue 6
Pg. 217-20
(Jul 11 2009)
ISSN: 0025-7753 [Print] Spain |
Vernacular Title | Seguimiento a largo plazo de pacientes con ectasia vascular del antro gástrico tratados mediante coagulación con argón plasma. |
PMID | 19394972
(Publication Type: English Abstract, Journal Article)
|
Chemical References |
|
Topics |
- Adult
- Aged
- Aged, 80 and over
- Argon
- Female
- Follow-Up Studies
- Gastric Antral Vascular Ectasia
(surgery)
- Humans
- Laser Coagulation
- Male
- Middle Aged
- Retrospective Studies
- Time Factors
|