Severe chronic anemia secondary to gastric antral vascular ectasia
Joint Authors
Abu Rashid, Antwan
Sanyour, Joyce
Salim, Sharilli
Source
Issue
Vol. 67, Issue 2 (30 Jun. 2019), pp.120-124, 5 p.
Publisher
Publication Date
2019-06-30
Country of Publication
Lebanon
No. of Pages
5
Main Subjects
Abstract EN
Background: Gastric antral vascular ectasia (GAVE) is a rare cause of upper gastrointestinal bleed and is associated with severe underlying chronic illness.
Two major types of GAVE had been described based on endoscopic appearance: the classic “watermelon” secondary to autoimmune disease and the diffuse antral angioma related to liver cirrhosis.
Case presentation: We report two cases of gastric antral vascular ectasia secondary to systemic disease (Sjogren’s and scleroderma), presented for multiple episodes of severe anemia, responding very well after combination of endoscopic treatment (band ligation and argon plasma coagulation (APC)) Discussion : The clinical manifestation of GAVE ranges from asymptomatic anemia to severe acute gastrointestinal bleeding.
Diagnosis is based on endoscopic appearance.
Biopsies of the antral lesion show microvascular thrombi, vascular ectasia and fibrohya- Iinosis.
Treatment can be divided into conservative, endoscopic and surgical therapy.
The currently embraced endoscopic treatment modality for GAVE is APC, but in extensive deep lesions or refractory cases, endoscopic band ligation can be used.
Abstract FRE
o Contexte: L’ectasie vasculaire antrale gastrique (GAVE) est une cause rare de saignement gastro-intestinal supérieur et est associée a une maladie chronique sousjacente grave.
Deux grands types de GAVE ont été décrits sur la base de l’aspect endoscopique: la «pasteque» classique secondaire a la maladie auto-immune et I’angiome antral diffus lie a la cirrhose du foie.
Présentation des cas: Nous rapportons deux cas d’ectasie vasculaire antrale gastrique secondaire a une maladie systémique (Sjogren et sclérodermie), présentés pour des episodes multiples d’anémie severe, répondant tres bien a un traitement endoscopique combinant ligature de bande et coagulation au plasma d’argon (CPA).
Discussion: La manifestation clinique de GAVE va de l’anémie asymptomatique au saignement gastrointestinal aigu severe.
Le diagnostic est base sur l’apparence endoscopique.
Les biopsies de la lesion antrale montrent des thrombus microvasculaires, des ectasies vasculaires et des fibrohyalinoses.
Le traitement peut etre divisé en thérapie conservatrice, endoscopique et chirurgicale.
La modalité de traitement endoscopique actuellement adoptée pour GAVE est CPA, mais dans des lesions profondes étendues ou des cas réfractaires, la ligature endoscopique peut etre utilisée.
American Psychological Association (APA)
Abu Rashid, Antwan& Sanyour, Joyce& Salim, Sharilli. 2019. Severe chronic anemia secondary to gastric antral vascular ectasia. Journal Médical Libanais،Vol. 67, no. 2, pp.120-124.
https://search.emarefa.net/detail/BIM-934795
Modern Language Association (MLA)
Abu Rashid, Antwan…[et al.]. Severe chronic anemia secondary to gastric antral vascular ectasia. Journal Médical Libanais Vol. 67, no. 2 (Apr. / Jun. 2019), pp.120-124.
https://search.emarefa.net/detail/BIM-934795
American Medical Association (AMA)
Abu Rashid, Antwan& Sanyour, Joyce& Salim, Sharilli. Severe chronic anemia secondary to gastric antral vascular ectasia. Journal Médical Libanais. 2019. Vol. 67, no. 2, pp.120-124.
https://search.emarefa.net/detail/BIM-934795
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 123-124
Record ID
BIM-934795
