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Gastric vascular ectasia treated by endoscopic mucosal resection
Author(s) -
OKAMOTO TETSU,
OKAYAMA YASUTAKA,
HIRAI MASAAKI,
KITAJIMA YASUHIRO,
HAYASHI KAZUKI,
IMAI HIDETO,
AKITA SHINJI,
GOTOH KAZUO,
OHARA HIROTAKA,
NOMURA TOMOYUKI,
JOH TAKASHI,
YOKOYAMA YOSHIFUMI,
ITOH MAKOTO
Publication year - 2002
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1046/j.1443-1661.2002.00155.x
Subject(s) - medicine , lesion , ectasia , gastric antral vascular ectasia , endoscopic mucosal resection , endoscopy , stomach , anemia , iron deficiency anemia , surgery , gastrointestinal bleeding , therapeutic endoscopy , radiology , argon plasma coagulation , gastroenterology
An 80‐year‐old woman consulted our hospital complaining of general weakness. She had iron deficiency anemia, and upper gastrointestinal endoscopy revealed a small lesion accompanying a small amount of fresh bleeding in the stomach. Close observation of the lesion revealed that it was composed of a local assembly of dilated microvessels. The diagnosis of this patient was gastric vascular ectasia causing anemia. Endoscopic ultrasonography demonstrated that the lesion involved the mucosal and submucosal layers of the stomach, and that there were no large vessels inflowing to or outflowing from the lesion. In the present case, we attempted endoscopic mucosal resection (EMR). The lesion was completely resected by only one procedure of EMR without complications such as bleeding. After the endoscopic treatment, iron deficiency anemia improved. Follow‐up endoscopy performed 1 year later revealed that there was no residual or recurrent lesion. Although there have not been any published reports describing the use of EMR for gastric vascular ectasia, EMR may be a useful endoscopic treatment for this condition.