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Efficacy of Endoscopic band ligation versus argon plasma coagulation inGastric Antral Vascular Ectasia management

Article

Last updated: 04 Jan 2025

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Abstract

Background: Gastric Antral Vascular Ectasia (GAVE) is a capillary-type vascular malformation located mainly in the gastric antrum. It is characterized by dilated, tortuous mucosal capillaries, as well as by dilated, tortuous submucosal veins.Aim of the work: to evaluate the therapeutic effects of EBL for the treatment of bleeding from GAVE in comparison to APC. Patients and Methods: This study was conducted on fifty patients presenting withUGI bleeding that proved by upper GIE to be originating from GAVE at Kafr El Sheikh liver center every Tuesday weekly in the period from December 2019 toDecember 2020. Informed consent was obtained from each patient.Results: In this study hemoglobin levels were significantly raised after each endoscopic session done monthly through three months/four endoscopic follow up sessions in patients who underwent EBL and APC with no significant difference between both. Also, recurrence of bleeding from GAVE was significantly decreasing during follow up period in both groups with non-significant difference between both groups. Both groups showed non-significant mild complications like superficial ulcers and gastric hyperplastic polyps with non-significant difference between both. UGI endoscopic follow up after 3 months of treatment showed marked improvement in patients treated with EBL and APC. two patients in each group showed incomplete eradication of GAVE at fourth endoscopic follow up session requiring further follow up. Single patient showed recurrence of GAVE in EBL group with no recurrences in APC group. Conclusion: both APC and EBL are safe and effective management options for both punctate and watermelon types of GAVE.

DOI

10.21608/bmfj.2022.101084.1504

Keywords

endoscopic band ligation, argon plasma coagulation, Gastric antral vascular ectasia

Authors

First Name

Ashraf

Last Name

Nassar

MiddleName

-

Affiliation

Gastroenterology & Hepatology department, Faculty of Medicine-Benha University.

Email

ashraf.k.nassar@gmail.com

City

-

Orcid

-

First Name

Hisham

Last Name

Mohamed

MiddleName

S

Affiliation

Gastroenterology & Hepatology department, Faculty of Medicine-Benha University

Email

doc_hisham@yahoo.com

City

-

Orcid

-

First Name

Mostafa

Last Name

Soliman

MiddleName

Mohamed

Affiliation

Faculty of Medicine, Benha University

Email

mostafaelkeblawy@gmail.com

City

-

Orcid

-

First Name

tamer

Last Name

elazab

MiddleName

eleraky

Affiliation

hepatology,gastroentrology and infectious disease

Email

elerakytamer@yahoo.com

City

benha

Orcid

-

Volume

39

Article Issue

2

Related Issue

35838

Issue Date

2022-07-01

Receive Date

2021-10-14

Publish Date

2022-07-01

Page Start

666

Page End

679

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_246027.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=246027

Order

266

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

Efficacy of Endoscopic band ligation versus argon plasma coagulation inGastric Antral Vascular Ectasia management

Details

Type

Article

Created At

22 Jan 2023