Gastric antral vascular ectasia surgery
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Overview
Surgery
Surgery
Surgery, consisting of excision of part of the lower stomach, also called antrectomy, is another option. Antrectomy is the resection, or surgical removal, of a part of the stomach known as the antrum.[1]
Laparoscopic surgery is possible in some cases, and as of 2003, was a novel approach to treating watermelon stomach.[2]
A treatment used sometimes is endoscopic band ligation.[3]
In 2010, a team of Japanese surgeons performed a novel endoscopic ablation of gastric antral vascular ectasia.[4] The experimental procedure resulted in no complications.[4]
Relapse is possible, even after treatment by argon plasma coagulation and progesterone.[5] In such cases of relapse, surgery may be the only option; in one case that involved Endoscopic mucosal resection.[6]
Antrectomy or other surgery is used as a last resort for GAVE. The risks of surgery should be considered. It is said that surgery is the only cure for GAVE.
References
References
- ↑ Surgery Encyclopedia website page on Antrectomy. Accessed September 29, 2010.
- ↑ Sherman, V; Klassen, DR; Feldman, LS; Jabbari, M; Marcus, V; Fried, GM (2003). “Laparoscopic antrectomy: a novel approach to treating watermelon stomach”. Journal of the American College of Surgeons. 197 (5): 864. doi:10.1016/S1072-7515(03)00600-8. PMID 14585429.
- ↑ Wells, C; Harrison, M; Gurudu, S; Crowell, M; Byrne, T; Depetris, G; Sharma, V (2008). “Treatment of gastric antral vascular ectasia (watermelon stomach) with endoscopic band ligation”. Gastrointestinal Endoscopy. 68 (2): 231. doi:10.1016/j.gie.2008.02.021. PMID 18533150.
- ↑ 4.0 4.1 Komiyama, Masae; Fu, K; Morimoto, T; Konuma, H; Yamagata, T; Izumi, Y; Miyazaki, A; Watanabe, S (2010). “A novel endoscopic ablation of gastric antral vascular ectasia”. World Journal of Gastrointestinal Endoscopy. 2 (8): 298. doi:10.4253/wjge.v2.i8.298. PMC 2999147. PMID 21160630.
- ↑ Shibukawa, G; Irisawa, A; Sakamoto, N; Takagi, T; Wakatsuki, T; Imamura, H; Takahashi, Y; Sato, A; Sato, M (2007). “Gastric antral vascular ectasia (GAVE) associated with systemic sclerosis: relapse after endoscopic treatment by argon plasma coagulation”. Internal medicine (Tokyo, Japan). 46 (6): 279–83. doi:10.2169/internalmedicine.46.6203. PMID 17379994.
- ↑ Katsinelos, P; Chatzimavroudis, G; Katsinelos, T; Panagiotopoulou, K; Kotakidou, R; Tsolkas, G; Triantafillidis, I; Papaziogas, B (2008). “Endoscopic mucosal resection for recurrent gastric antral vascular ectasia”. VASA. Zeitschrift fur Gefasskrankheiten. Journal for vascular diseases. 37 (3): 289–92. doi:10.1024/0301-1526.37.3.289. PMID 18690599.
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