Angiodysplasias Successfully Treated with A Combination of Endoscopic Band Lingation and Argon Plasma Coagulation: A Case Report

Autor: Yuki Numaga, Toshihiro Ohya, Ken-ichi Tago, Rieko Yamada, Chihiro Tsunoda, Osamu Totsuka, Toshio Okabe, Tadahiro Yokomori, Hiroshi Iesato, Shunsuke Haga, Teruhiko Sakamoto, Hiroshi Matsumoto, Hiroyuki Kato
Jazyk: angličtina
Rok vydání: 2007
Předmět:
Zdroj: The Kitakanto medical journal = 北関東医学. 57(3):247-250
ISSN: 1343-2826
Popis: A 74-year-old Japanese man was admitted to our hospital due to repeated episodes of upper gastrointestinal\n(GI) bleeding, anemia and melena, which he had suffered for the preceding two years. We\nperformed several panendoscopic and angiographic examinations, but could not discover the cause of his\nanemia. In addition, we performed jejunectomy because arteriovenous malformation (AVM) was\nsuspected to exist in the jejunum. However, we found no evidence of AVM in the resected portion of\nthe jejunum. During an endoscopic GI study on his seventh admission, we found hemorrhaging gastric\nangiodysplasia (AGD) in the upper body of the stomach. Moreover, we found another small AGD in\nthe lower body of the stomach. We treated these lesions endoscopically using a combination of\nhemoclip, endoscopic band ligation and argon plasma coagulation.\nWhen diagnosing patients presenting with the symptoms described herein, the physician should\nconsider small AGDs and check the GI tract accordingly, to prevent unnecessary resections. In the\npresent subject, there has been no further bleeding and no other lesions have been detected in his upper\nGI on endoscopic examination during a 12-month follow up.
Databáze: OpenAIRE