Prachayakul V, Aswakul P, Leelakusolvong S. Massive gastric antral vascular ectasia successfully treated by endoscopic band ligation as the initial therapy. World J Gastrointest Endosc 2013; 5(3): 135-137 [PMID: 23515642 DOI: 10.4253/wjge.v5.i3.135]
Corresponding Author of This Article
Varayu Prachayakul, MD, Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Mahidol University, Bangkok 10700, Thailand. kaiyjr@gmail.com
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Varayu Prachayakul, Somchai Leelakusolvong, Siriraj GI Endoscopy Center, Siriraj Hospital, Bangkok 10700, Thailand
Varayu Prachayakul, Somchai Leelakusolvong, Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Mahidol University, Bangkok 10700, Thailand
Pitulak Aswakul, Liver and Digestive Institute, Samitivej Sukhumvit Hospital, Bangkok 10120, Thailand
Author contributions: Prachayakul V developed the concept; Prachayakul V and Aswakul P contributed to acquisition of data; Prachayakul V, Aswakul P and Leelakusolvong S revised the paper for important intellectual content; Prachayakul V and Aswakul P wrote the paper.
Correspondence to: Varayu Prachayakul, MD, Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Mahidol University, Bangkok 10700, Thailand. kaiyjr@gmail.com
Telephone: +66-81-8654646 Fax: +66-2-4199610
Received: June 25, 2012 Revised: September 20, 2012 Accepted: January 23, 2013 Published online: March 16, 2013
Abstract
Gastric antral vascular ectasia (GAVE) accounted for 4% of non-variceal gastrointestinal hemorrhage. Even though unclear pathogenesis, GAVE often associated with chronic renal failure, autoimmune diseases and cirrhosis. Asymptomatic lesions were reasonably not to treated. The treatment options for GAVE are non-endoscopic and endoscopic treatments. For the pharmacological treatment, some success were reported for the use of octreotide, thalidomide and tranexamic acid. While the endoscopic treatment is the mainstay for treatment of symptomatic lesions. The endoscopic ablative therapies such as argon plasma coagulation was reported with good clinical outcomes. However, these treatment options had some limitation due to the need of special equipment and multiple sessions needed to control the bleeding. We reported another treatment option using the routine-achievable instrument such as endoscopic band ligation as an initial treatment which also provided a good treatment outcome and less sessions.
