Poniachik J, Quera R, Sáenz R, Alfaro J, Smok G
Centro de Gastroenterología, Hospital Clínico José Joaquín Aguirre, Universidad de Chile, Santos Dumont No. 999, Santiago.
Rev Med Chil. 2001 May;129(5):547-51.
Gastric Antral Vascular Ectasia or Watermelon stomach is a rare cause of chronic gastrointestinal bleeding, often presenting as a chronic iron deficiency anemia. This condition can be associated with some other diseases such as cirrhosis, autoimmune diseases and others. We report two patients treated with Argon Plasma Coagulation, a 68 years old male with an ethanol related cirrhosis and a 72 years old female with an idiopathic Gastric Antral Vascular Ectasia. The characteristic endoscopic features were mistaken for many years as gastritis. Both patients presented with severe anemia requiring multiple transfusions as treatment. Due to the poor operative risk, both patients were treated with Argon Plasma Coagulation with good results.
胃窦血管扩张症或西瓜胃是慢性胃肠道出血的罕见原因,常表现为慢性缺铁性贫血。这种情况可能与其他一些疾病有关,如肝硬化、自身免疫性疾病等。我们报告了两名接受氩等离子体凝固治疗的患者,一名68岁男性患有酒精性肝硬化,一名72岁女性患有特发性胃窦血管扩张症。其特征性内镜表现多年来一直被误诊为胃炎。两名患者均出现严重贫血,需要多次输血治疗。由于手术风险高,两名患者均接受了氩等离子体凝固治疗,效果良好。