Abstract | BACKGROUND AND STUDY AIMS: PATIENTS AND METHODS: This was an open-label, retrospective, case series study. The main outcome measures were number of red blood cell (RBC) packs transfused (transfusion requirement) and hemoglobin concentrations (g/dL) in the 6 months prior to and after RFA. Success was defined as a decrease in transfusion requirement in the 6 months after RFA compared with before treatment. RESULTS: A total of 24 patients underwent a mean of 1.8 ± 0.8 RFA sessions. No complications were reported. One patient was referred for additional argon plasma coagulation during follow-up. The mean number of RBC packs decreased in all 23 transfusion-dependent patients, from a mean of 10.6 ± 12.1 during the 6 months prior to RFA, to a mean of 2.5 ± 5.9 during the 6 months after RFA treatment (P < 0.001), and 15 patients (65.2 %) were weaned off transfusions completely. An increase in the hemoglobin concentration was reported in all patients after RFA (from 6.8 ± 1.4 g/dL to 9.8 ± 1.8 g/dL; P < 0.001). CONCLUSION: RFA for the treatment of GAVE seems feasible and safe, and significantly reduced the need for RBC transfusion and increased the hemoglobin level in this retrospective case series.
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Authors | Xavier Dray, Alessandro Repici, Pedro Gonzalez, Claus Fristrup, Stéphane Lecleire, Sergey Kantsevoy, Dov Wengrower, Peter Elbe, Marine Camus, Alessandra Carlino, Francisco Pérez-Roldán, Tomer Adar, Philippe Marteau |
Journal | Endoscopy
(Endoscopy)
Vol. 46
Issue 11
Pg. 963-9
(Nov 2014)
ISSN: 1438-8812 [Electronic] Germany |
PMID | 25111135
(Publication Type: Journal Article, Multicenter Study)
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Copyright | © Georg Thieme Verlag KG Stuttgart · New York. |
Chemical References |
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Topics |
- Aged
- Aged, 80 and over
- Anemia
(etiology, therapy)
- Catheter Ablation
(adverse effects)
- Erythrocyte Transfusion
- Female
- Gastric Antral Vascular Ectasia
(blood, complications, surgery)
- Hemoglobins
(metabolism)
- Humans
- Male
- Middle Aged
- Reoperation
- Retrospective Studies
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