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Remarkable effectiveness of endoscopic argon plasma coagulation against diffuse antral vascular ectasia
Author(s) -
Sou Suketo,
Nagahama Takashi,
Nomura Hideyuki,
Matsubara Fujio,
Tanaka Hideyoshi,
Matsui Toshiyuki,
Yao Tsuneyoshi
Publication year - 2004
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 - 10.1111/j.1443-1661.2003.00331.x
Subject(s) - medicine , argon plasma coagulation , gastric antral vascular ectasia , telangiectasia , cauterization , biopsy , lesion , endoscopy , colonoscopy , anemia , angiodysplasia , esophagogastroduodenoscopy , lamina propria , ectasia , gastroenterology , antrum , surgery , cryoprecipitate , stomach , pathology , cancer , colorectal cancer , epithelium , fibrinogen
A 49‐year‐old woman had been suffering from chronic glomerulonephritis and serious anemia (Hb 5.0 g/dL) since January 1998 and had frequent blood transfusions. Epigastric distress appeared in January 2001, and she was referred to Shin‐Kokura Hospital on 6 July of the same year. Upper gastrointestinal endoscopy revealed mucosal redness circumferentially encompassing the area from the antrum of the stomach to the prepyloric ring, and telangiectasia was observed at a proximal view over the affected part. A diagnosis of diffuse antral vascular ectasia (DAVE) was made after a histological study by biopsy revealed telangiectasia and stasis at the lamina propria. Endoscopic cauterization was conducted by argon plasma coagulation (APC) in three consecutive sessions. Endoscopy and biopsy carried out at 1 month after completion of the APC therapy showed that the lesion had completely healed. Subsequently, the anemia improved. The results suggest that APC is a reliable and safe method of endoscopic treatment for diffuse mucosal hemorrhagic lesion, including DAVE.