Is Endoscopic Band Ligation a Superior Treatment Modality for Gastric Antral Vascular Ectasia Compared to Argon Plasma Coagulation?

Neil Robert O’Morain; Helen O’Donovan; Caroline Conlon; Eileen Shannon; Diarmuid Manning; Eoin Slattery

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저자정보: Neil Robert O’Morain (Department of Gastroenterology University Hospital Galway Galway Ireland) Helen O’Donovan (Department of Gastroenterology University Hospital Galway Galway Ireland) Caroline Conlon (Department of Gastroenterology University Hospital Galway Galway Ireland) Eileen Shannon (Department of Gastroenterology University Hospital Galway Galway Ireland) Diarmuid Manning (Department of Gastroenterology University Hospital Galway Galway Ireland) Eoin Slattery (Department of Gastroenterology University Hospital Galway Galway Ireland)

저널정보: 대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제54권 제4호

발행연도: 2021.1

수록면: 548 - 554 (7page)

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Background/Aims: Gastric antral vascular ectasia (GAVE) is a rare acquired vascular lesion of the gastric antrum. The most frequentpresentation of GAVE is iron deficiency anemia. Endoscopic therapy is the mainstay of treatment. However, there is no consensusregarding the optimal treatment modality. Methods: A retrospective cohort study was performed on patients with GAVE, including patients receiving endoscopic therapy. Treatment was with either argon plasma coagulation (APC) or endoscopic band ligation (EBL). Basic demographic data, indicationfor index procedure, number of sessions, and pre- and post-hemoglobin levels were collected. The aim of the study was to compareoutcomes across the two treatment modalities. Results: One hundred and seventeen diagnoses of GAVE were made. Sixty-two patients (53%) required endoscopic treatment forsymptomatic GAVE (female, n=38, 61%; mean age of 74.4 years). Two hundred and eighteen procedures were performed duringthe study period. APC was performed (n=161, 74%) more frequently than EBL (n=57, 26%). Patients treated with APC at indexrequired a median 5 subsequent therapeutic interventions (APC or EBL), while those treated with EBL at index required a further 2.9treatments (EBL only) (p<0.05). Conclusions: APC was the most common treatment modality employed. We demonstrate an increasing incidence of EBL. Patientstreated with EBL at index treatment required fewer subsequent treatment sessions and had a greater mean rise in hemoglobin. Thissuggests a more effective endoscopic response with EBL.

#Anemia #iron-deficiency #Argon plasma coagulation #Endoscopic band ligation #Gastric antral vascular ectasia #Retrospective study

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