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Carina N Bagge1, Mustafa Bulut2,3, John Gásdal Karstensen3,4

  • 1Medicinsk Afdeling, Sjællands Universitetshospital, Køge.

Ugeskrift for Laeger
|January 9, 2023
PubMed
Summary

Gastric antral vascular ectasia (GAVE) causes significant gastrointestinal bleeding. Endoscopic treatments like argon plasma coagulation are safe and effective, offering a better alternative to surgery.

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Vascular Medicine

Background:

  • Gastric antral vascular ectasia (GAVE) presents as dilated blood vessels in the gastric antrum.
  • It is a common cause of anemia and gastrointestinal hemorrhage.
  • Recurrent blood transfusions are often necessary for affected patients.

Approach:

  • This review provides an overview of treatment strategies for GAVE.
  • Pharmacological treatments have shown limited efficacy.

Key Points:

  • Endoscopic treatments are safer and better tolerated than surgery.
  • Argon plasma coagulation, endoscopic band ligation, and radiofrequency ablation are effective endoscopic options.
  • Comparative studies suggest these endoscopic modalities are equally effective.

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Conclusions:

  • Endoscopic interventions are a preferred treatment for Gastric Antral Vascular Ectasia over surgery.
  • Argon plasma coagulation, endoscopic band ligation, and radiofrequency ablation are viable endoscopic options.
  • Further comparative studies are needed to definitively rank endoscopic treatment effectiveness.