Lingenfelser T, Mueller M, Marks I N, Dette S, Wehrman M, Scheurlen M
Department of Medicine, Eberhard-Karls-University Tuebingen, Germany.
Z Gastroenterol. 1993 May;31(5):322-4.
We report the case history of a 75-year-old female patient suffering from extensive gastric antral vascular ectasia (watermelon stomach) with portal hypertension in alcoholic liver cirrhosis. Iron deficiency anaemia, due to chronic blood loss from the antral lesions, required repeated transfusions. Conservative treatment failed, but a surgical intervention (antrectomy) was discarded in view of concomitant diseases. Endoscopic laser photocoagulation therapy with a Nd:YAG-laser eradicated the characteristic antral lesions, which was accompanied by a significant reduction of transfusion requirements. No relapse has been observed since then. Endoscopic laser photocoagulation appears to be an efficacious and safe alternative in the treatment of gastric antral vascular ectasia.
我们报告了一例75岁女性患者的病史，该患者患有广泛的胃窦血管扩张症（西瓜胃），并伴有酒精性肝硬化门静脉高压。由于胃窦病变慢性失血导致缺铁性贫血，需要反复输血。保守治疗失败，但鉴于合并症，放弃了手术干预（胃窦切除术）。使用Nd:YAG激光进行内镜激光光凝治疗消除了特征性的胃窦病变，同时输血需求显著减少。从那以后未观察到复发。内镜激光光凝似乎是治疗胃窦血管扩张症的一种有效且安全的替代方法。
