Dejan Urlep (Author), Rajko Kavalar (Author)

Abstract

Izhodišča. Žilne ektazije antruma želodca (GAVE) ali lubenični želodec (watermelon stomach) so redek, a pomemben vzrok kronične krvavitve iz prebavne cevi in posledične slabokrvnosti. Bolezen ima svojo značilno endoskopsko in histološko sliko. Patogeneza bolezni je nepojasnjena. Cilj zdravljenja je zmanjšati kronično krvavitev do te mere, da transfuzije niso več potrebne. V literaturi so opisani poskusi zdravljenja z zdravili, endoskopskimi terapevtskimi metodami in z operacijo. Danes se pri zdravljenju GAVE najpogosteje uporablja elektrokoagulacija z argonskim plazemskim koagulatorjem in z laserjem Nd: YAG. Bolniki in metode. Prikazan je primer 77-letne bolnice z žilnimi ektazijami antruma želodca. Bolnica je bila zaradi nepojasnjenega vzroka krvavitve iz prebavne cevi in ponavljajoče se slabokrvnosti kljub nadomeščanju železa odvisna od transfuzij. Uspešno je bila zdravljena z argonsko plazemsko koagulacijo (APC). Dve leti po zdravljenju bolnica ni slabokrvna in ne potrebuje transfuzij. Zaključki. Žilne ektazije antruma želodca so pogosto nespoznane in napačno opredeljene kot erozivni gastritis. Čeprav je bolezen redka, je pomemben vzrok prikrite krvavitve iz zgornje prebavne cevi, zlasti pri starejših ženskah.

Keywords

No keyword data available

Data

Language: Slovenian
Year of publishing:
Typology: 1.04 - Professional Article
Organization: UM - University of Maribor
UDC: 616.33
COBISS: 2496063 Link will open in a new window
ISSN: 1318-0347
Parent publication: Zdravniški vestnik
Views: 1460
Downloads: 50
Average score: 0 (0 votes)
Metadata: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Other data

Secondary language: English
Secondary title: Gastric antral vascular ectasia (GAVE) - case report
Secondary abstract: Background. Gastric antral vascular ectasia (GAVE), or "watermelon stomach" is a rare but important cause of gastrointestinal blood loss and anaemia, and has characteristic endoscopic and histological features. The pathogenesis of this condition remains unclear. The goal in treating a patient with gastric antral vascular ectasia should be the complete elimination of transfusion requirements. Various medical, surgical and endoscopic therapeutic modalities have been attempted with variable success. Currently available evidence favours endoscopic therapy using argon plasma coagulation or Nd: YAG laser. Patients and methods. A case of 77-year-old women with gastric antral vascular ectasia is presented who was transfusion dependent due to recurrent anaemia despite iron supplements. She was successfully treated with argon plasma coagulation (APC). Two years after treatment she didn't have anaemia and no need for transfusion. Conclusions. It is widely belived that GAVE is under-recognized and is most often misinterpreted as antral gastritis. Although rare, it is an important cause of occult upper gastrointestinal bleeding, particularly in elderly women.
Secondary keywords: Gastric Antral Vascular Ectasia;drug therapy;surgery;Antrum želodca, žilna ektazija;Zdravljenje z zdravili;Kirurgija;Gastrointestinal Hemorrhage;Gastrointestinalna krvavitev;Endoscopy, Gastrointestinal;Endoskopija, gastrointestinalna;
URN: URN:NBN:SI
Type (COBISS): Not categorized
Pages: str. II-117 - II-123
Volume: ǂLetn. ǂ75
Issue: ǂsupl. ǂII
Chronology: 2006
ID: 9111891