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胃窦血管扩张继发贫血经胃窦切除术成功治疗

Anemia Secondary to Gastric Antral Vascular Ectasia Successfully Treated With Antral Gastrectomy.

作者信息

Girão de Caires Francisco, Nunes Mafalda, Damiao Filipe, Dionísio Isabel, Gomes da Costa Adelaide

机构信息

General Surgery, Unidade Local de Saúde do Oeste, Caldas da Rainha, PRT.

Gastroenterology, Unidade Local de Saúde do Oeste, Caldas da Rainha, PRT.

出版信息

Cureus. 2024 Sep 18;16(9):e69663. doi: 10.7759/cureus.69663. eCollection 2024 Sep.

Abstract

Gastric antral vascular ectasia (GAVE) is a rare but significant cause of chronic gastrointestinal bleeding and anemia, particularly in elderly patients. We report the case of a 75-year-old female who presented with severe anemia secondary to GAVE. Despite multiple endoscopic interventions with argon plasma coagulation (APC) treatments and endoscopic band ligation (EBL), the patient's condition persisted, necessitating an antral gastrectomy with intraoperative endoscopy to delineate the proximal resection margin. Postoperative outcomes were favorable, with no recurrence of anemia or gastrointestinal bleeding observed during follow-up.

摘要

胃窦血管扩张症(GAVE)是慢性胃肠道出血和贫血的一种罕见但重要的病因,尤其在老年患者中。我们报告一例75岁女性患者,因GAVE导致严重贫血。尽管多次进行氩等离子体凝固(APC)治疗和内镜下套扎术(EBL)等内镜干预,但患者病情仍持续存在,因此需要行胃窦切除术并在术中进行内镜检查以确定近端切除边缘。术后结果良好,随访期间未观察到贫血或胃肠道出血复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e466/11488673/14ed1f58b68c/cureus-0016-00000069663-i01.jpg

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