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TREATMENT RESISTANT GASTRIC ANTRAL VASCULAR ECTASIA IN A PATIENT UNDERGOING HAEMODIALYSIS
Author(s) -
Ahn Yeri,
Wang Tom Kai Ming,
Dunlop Joanna
Publication year - 2014
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/jorc.12077
Subject(s) - medicine , gastric antral vascular ectasia , argon plasma coagulation , refractory (planetary science) , dialysis , hemodialysis , ligation , surgery , peritoneal dialysis , ectasia , endoscopy , physics , astrobiology
SUMMARY Gastric antral vascular ectasia (GAVE) is an important cause of upper gastrointestinal bleeding and has a high prevalence in patients with renal insufficiency. We report the first documented case of a 52‐year‐old patient on haemodialysis with GAVE refractory to repeated endoscopic argon plasma coagulation (APC) therapy and highlight the difficulties in its management. We recognise the need for further studies to investigate the optimal management of this condition and suggest alternative treatment strategies to be considered in patients with APC refractory GAVE, such as endoscopic band ligation and changing dialysis modality.