Abstract | INTRODUCTION: The most frequently applied methods of endoscopic treatment of angiodysplasias, such as argon plasma coagulation, multipolar coagulation and heater probe, proved to be effective with certain shortcomings and the possibility of complications. There are very scarce data in the literature about the treatment of angiodysplasias with endoscopic ligature. OBJECTIVE: The aim of the study was to examine the efficacy and safety of endoscopic treatment of gastric and duodenal angiodysplasias by ligation with elastic rings. METHODS: RESULTS: Active bleeding from angiodysplasias was stopped in two patients (100%) by endoscopic ligation with elastic rings. The average number of applied ligation sessions in our 12 patients was 1.6, with an average of 1.8 ligatures per session. There were no complications after ligation of angiodysplasias. Recurrence of bleeding occurred in one patient (8.3%) with multiple gastric and duodenal angiodysplasias.The average period of follow-up of patients was 22.8 +/- 17.6 months. CONCLUSION: Endoscopic ligation with elastic rings can be effective and safe for treatment especially of solitary gastric and duodenal angiodysplasias.
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Authors | Saša Grgov, Perica Stamenković, Dejan Janjić |
Journal | Srpski arhiv za celokupno lekarstvo
(Srp Arh Celok Lek)
2012 Mar-Apr
Vol. 140
Issue 3-4
Pg. 168-72
ISSN: 0370-8179 [Print] Serbia |
PMID | 22650102
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adult
- Aged
- Angiodysplasia
(complications, therapy)
- Duodenal Diseases
(complications, therapy)
- Endoscopy, Gastrointestinal
- Female
- Gastrointestinal Hemorrhage
(etiology, therapy)
- Humans
- Ligation
- Male
- Middle Aged
- Stomach Diseases
(complications, therapy)
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