Surgical treatment of gastric antral vascular ectasia. Clinical case

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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.

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, Perm

D. V. Trushnikov

Perm Regional Clinical Hospital

Email: max_repin@inbox.ru

endoscopist, Chief Freelance Endoscopy Specialist

Russian Federation, Perm

D. A. Lobanov

Perm Regional Clinical Hospital

Email: max_repin@inbox.ru

surgeon

Russian Federation, Perm

E. V. Davydova

Perm Regional Clinical Hospital

Email: max_repin@inbox.ru

surgeon

Russian Federation, Perm

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