Surgical treatment of gastric antral vascular ectasia. Clinical case
- Authors: Repin M.V.1, Trushnikov D.V.2, Lobanov D.A.2, Davydova E.V.2
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Affiliations:
- E.A. Vagner State Medical University
- Perm Regional Clinical Hospital
- Issue: Vol 40, No 2 (2023)
- Pages: 131-137
- Section: Clinical case
- URL: https://journals.rcsi.science/PMJ/article/view/254836
- DOI: https://doi.org/10.17816/pmj402131-137
- ID: 254836
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Abstract
A clinical case of a 67-year-old patient suffering from severe iron deficiency anemia, caused by gastric antral vascular ectasia (GAVE), is described. This type of gastric angiodysplasia is characterized by a distinct endoscopic picture and is a rare cause of gastric bleeding. Endoscopic hemostasis is considered the main method of treatment, however, after argon plasma coagulation (APC), in our case, anemia recurred, and required repeated hospitalization and blood transfusion. Indications for surgical treatment were established, and Billroth I antrumectomy proved to be effective in refractory GAVE.
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##article.viewOnOriginalSite##About the authors
M. V. Repin
E.A. Vagner State Medical University
Author for correspondence.
Email: max_repin@inbox.ru
MD, PhD, Professor of the Department of Surgery with Course of Cardiovascular Surgery and Invasive Cardiology
Russian Federation, PermD. V. Trushnikov
Perm Regional Clinical Hospital
Email: max_repin@inbox.ru
endoscopist, Chief Freelance Endoscopy Specialist
Russian Federation, PermD. A. Lobanov
Perm Regional Clinical Hospital
Email: max_repin@inbox.ru
surgeon
Russian Federation, PermE. V. Davydova
Perm Regional Clinical Hospital
Email: max_repin@inbox.ru
surgeon
Russian Federation, PermReferences
- Rider J.A., Klotz A.P., Kirshner J.B. Gastritis with veno-capillary ectasia as a source of massive gastric hemorrhage. Gastroenterology 1953; 24: 118–123.
- Jabbari M., Cherry R., Lough J.O., Daly D.S., Kinnear D.G., Goresky C.A. Gastric antral vascular ectasia: the watermelon stomach. Gastroenterology 1984; 87: 1165–1170.
- Vesoulis Z., Naik N., Maseelall P. Histopathologic changes are not specific for the diagnosis of gastric antral vascular ectasia syndrome. Am. J. Clin. Pathol. 1998; 109; 558–564.
- Aryan M., Jariwala R., Alkurdi B., Peter S., Shoreibah M. The misclassification of gastric antral vascular ectasia. J. Clin. Transl. Res. 2022; 8 (3): 218–223.
- Gilliam J.H., Geisinger K.R., Wu W.C., Weidner N., Richter J.E. Endoscopic Biopsy is Diagnostic in Gastric Antral Vascular Ectasia. Dig. Dis. Sci. 1989; 34: 885–888.
- Thomas A., Koch D., Marsteller W., Lewin D., Reuben A. An Analysis of the clinical, laboratory, and histological features of striped, punctate, and nodular gastric antral vascular ectasia. Dig. Dis. Sci. 2018; 63: 966–973.
- Matsumoto Y., Hayashi H., Tahara K., Yasuda T., et al. Intravenous cyclophosphamide for gastric antral vascular ectasia associated with systemic sclerosis refractory to endoscopic treatment: A case report and review of the pertinent literature. Intern. Med. 2019; 58 (1): 135–139.
- Kwon H.J., Lee S.H., Cho J.H. Influences of etiology and endoscopic appearance on the long-term outcomes of gastric antral vascular ectasia. World J Clin Cases. 2022; 10 (18): 6050–6059.
- Олевская Е.Р., Тарасов А.Н. Использование различных эндоскопических технологий в лечении GAVE-синдрома. Эндоскопическая хирургия 2016; 2: 42–44.
- Rajabnia M., Hatami B., Moghadam P. K., Mohammadi M. et al. Comparison of portal hypertensive gastropathy and gastric antral vascular ectasia: an update. Gastroenterol. Hepatol. Bed. Bench. 2022; 15 (3): 204–218.
- Ripoll C., Garcia-Tsao G. Management of пastropathy and пastric vascular ectasia in portal hypertension. Clin. Liver Dis. 2010; 14 (2): 281–295.
- Patwardhan V.R., Cardenas A. The management of portal hypertensive gastropathy and gastric antral vascular ectasia in cirrhosis. Aliment. Pharmacol Ther. 2014; 40: 354–362.
- Novitsky Y.W., Kercher K.W., Czerniach D.R., Litwin D.E. Watermelon stomach: pathophysiology, diagnosis, and management. J. Gastrointest. Surg. 2003; 7: 652–661.
- Burak K., Lee S., Beck P. Portal hypertensive gastropathy and gastric antral vascular ectasia (GAVE) syndrome. Gut 2001; 49 (6): 866–872.