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Article: Clinical and histological features of gastric antral vascular ectasia: Successful treatment with endoscopic laser therapy

TitleClinical and histological features of gastric antral vascular ectasia: Successful treatment with endoscopic laser therapy
Authors
Issue Date1996
Citation
Journal of Gastroenterology and Hepatology, 1996, v. 11 n. 3, p. 270-274 How to Cite?
AbstractGastric antral vascular ectasia is a rare but important cause of chronic gastrointestinal bleeding. We report five patients in whom endoscopic laser therapy successfully controlled repeated blood loss. The patients were elderly (age range: 61-84 years; mean age: 75 years) and three of them were female. Endoscopically, all patients presented with a characteristic antral appearance of either ectatic vascular 'stripes' radiating out from the pylorus, or multiple cherry-red spots. In all patients, the gastric mucosal biopsy specimens showed dilatation of the capillaries with focal fibrin thrombi and fibromuscular hyperplasia. Marked improvement of both endoscopic and histological features was achieved with endoscopic laser treatment using Nd-YAG laser photocoagulation. Its importance lies in its recognition and successful treatment with endoscopic laser therapy, which offers an effective and relatively safe alternative to surgery, particularly in elderly patients.
Persistent Identifierhttp://hdl.handle.net/10722/148059
ISSN
2015 Impact Factor: 3.322
2015 SCImago Journal Rankings: 1.190
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNg, IOLen_US
dc.contributor.authorLai, KCen_US
dc.contributor.authorNg, Men_US
dc.date.accessioned2012-05-29T06:10:37Z-
dc.date.available2012-05-29T06:10:37Z-
dc.date.issued1996en_US
dc.identifier.citationJournal of Gastroenterology and Hepatology, 1996, v. 11 n. 3, p. 270-274en_US
dc.identifier.issn0815-9319en_US
dc.identifier.urihttp://hdl.handle.net/10722/148059-
dc.description.abstractGastric antral vascular ectasia is a rare but important cause of chronic gastrointestinal bleeding. We report five patients in whom endoscopic laser therapy successfully controlled repeated blood loss. The patients were elderly (age range: 61-84 years; mean age: 75 years) and three of them were female. Endoscopically, all patients presented with a characteristic antral appearance of either ectatic vascular 'stripes' radiating out from the pylorus, or multiple cherry-red spots. In all patients, the gastric mucosal biopsy specimens showed dilatation of the capillaries with focal fibrin thrombi and fibromuscular hyperplasia. Marked improvement of both endoscopic and histological features was achieved with endoscopic laser treatment using Nd-YAG laser photocoagulation. Its importance lies in its recognition and successful treatment with endoscopic laser therapy, which offers an effective and relatively safe alternative to surgery, particularly in elderly patients.en_US
dc.languageengen_US
dc.relation.ispartofJournal of Gastroenterology and Hepatologyen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAngiodysplasia - Complications - Pathology - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshGastric Mucosa - Pathologyen_US
dc.subject.meshGastrointestinal Hemorrhage - Etiologyen_US
dc.subject.meshGastroscopyen_US
dc.subject.meshHumansen_US
dc.subject.meshLaser Coagulationen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPyloric Antrum - Blood Supply - Pathologyen_US
dc.titleClinical and histological features of gastric antral vascular ectasia: Successful treatment with endoscopic laser therapyen_US
dc.typeArticleen_US
dc.identifier.emailNg, IOL: iolng@hkucc.hku.hken_US
dc.identifier.emailLai, KC: kclai@HKUCC.hku.hk-
dc.identifier.emailNg, MMT: hrmeman@HKUCC.hku.hk-
dc.identifier.authorityNg, IOL=rp00335en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid8742925-
dc.identifier.scopuseid_2-s2.0-0029993679en_US
dc.identifier.hkuros11427-
dc.identifier.hkuros25829-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0029993679&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume11en_US
dc.identifier.issue3en_US
dc.identifier.spage270en_US
dc.identifier.epage274en_US
dc.identifier.isiWOS:A1996UD64100012-
dc.publisher.placeAustraliaen_US

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