Curative effects of bipolar electrocoagulation for gastric antral vascular ectasia (with video)

VernacularTitle:内镜下双极电止血导管治疗胃窦毛细血管扩张症的疗效观察(含视频)
Author: Kefeng HU ¹ ; Guoliang YE ; Yanping JIN ; Yong DING ; Min MIAO
Author Information

1. 宁波大学医学院附属医院消化内科　315020
Keywords: Gastric antral vascular ectasia; Gastrointestinal hemorrhage; Bipolar electrocoagulation
From: Chinese Journal of Digestive Endoscopy 2021;38(9):746-749
CountryChina
Language:Chinese
Abstract: To evaluate the efficacy and feasibility of bipolar electrocoagulation in the treatment of gastric antral vascular ectasia(GAVE). Six patients with GAVE who underwent gastroscopy and bipolar electrocoagulation between January 2018 and December 2019 in the Affiliated Hospital of Medical School of Ningbo University were included in the study.The operation and clinical response were observed. All the 6 patients underwent bipolar electrocoagulation successfully. The mean operation time was 32 min (range 25-45 min). Mean number of sessions required for eradication of GAVE was 1.17. No severe complications related to endoscopic treatment occurred. There was no recurrence of GAVE at a mean time of 10.8 months (range 2-25 months) of follow-up. Stabilization of hemoglobin levels and decrease in blood transfusion requirements along with endoscopically complete or near-complete eradication of GAVE were observed in all patients during the follow-up.Bipolar electrocoagulation in the treatment of GAVE is effective, safe, and simple.