Successful treatment of refractory Gastric Antral Vascular Ectasia (GAVE) in a cirrhotic patient with transcatheter arterial embolisation in a tertiary care facility in Pakistan: a case report

Gastric antral vascular ectasia (GAVE) is a rare but important cause of upper gastrointestinal bleeding that may present with refractory anaemia or overt gastrointestinal bleeding requiring multiple admissions and resuscitation. Although endoscopic therapies are considered first line treatment for...

Full description

Bibliographic Details
Main Authors: Laima Alam, Ayesha Usmani
Format: Article
Language:English
Published: Pakistan Medical Association 2021-11-01
Series:Journal of the Pakistan Medical Association
Online Access:https://www.ojs.jpma.org.pk/index.php/public_html/article/view/533
_version_ 1797820762455801856
author Laima Alam
Ayesha Usmani
author_facet Laima Alam
Ayesha Usmani
author_sort Laima Alam
collection DOAJ
description Gastric antral vascular ectasia (GAVE) is a rare but important cause of upper gastrointestinal bleeding that may present with refractory anaemia or overt gastrointestinal bleeding requiring multiple admissions and resuscitation. Although endoscopic therapies are considered first line treatment for the management of refractory gastric antral vascular ectasia, angiographic embolisation of the culprit vessel(s) may emerge as an effective and safe treatment modality in the near future. Here, we present the case of a middle-aged gentleman with refractory gastric antral vascular ectasia, who was not responding to repeated sessions of Argon Plasma Coagulation (APC) and was successfully treated with trans-catheter arterial embolisation of gastro-duodenal artery. Keywords: Gastric antral vascular ectasia, Bleeding, Watermelon stomach, Argon plasma coagulation, Continuous...
first_indexed 2024-03-13T09:43:03Z
format Article
id doaj.art-fd27aada6979491d82bab0dfef31ee63
institution Directory Open Access Journal
issn 0030-9982
language English
last_indexed 2024-03-13T09:43:03Z
publishDate 2021-11-01
publisher Pakistan Medical Association
record_format Article
series Journal of the Pakistan Medical Association
spelling doaj.art-fd27aada6979491d82bab0dfef31ee632023-05-25T04:24:03ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822021-11-0171410.47391/JPMA.261Successful treatment of refractory Gastric Antral Vascular Ectasia (GAVE) in a cirrhotic patient with transcatheter arterial embolisation in a tertiary care facility in Pakistan: a case reportLaima Alam0Ayesha Usmani1Department of Gastroenterology, Pak Emirates Military Hospital, Rawalpindi, PakistanDepartment of Gastroenterology, Pak Emirates Military Hospital, Rawalpindi, Pakistan Gastric antral vascular ectasia (GAVE) is a rare but important cause of upper gastrointestinal bleeding that may present with refractory anaemia or overt gastrointestinal bleeding requiring multiple admissions and resuscitation. Although endoscopic therapies are considered first line treatment for the management of refractory gastric antral vascular ectasia, angiographic embolisation of the culprit vessel(s) may emerge as an effective and safe treatment modality in the near future. Here, we present the case of a middle-aged gentleman with refractory gastric antral vascular ectasia, who was not responding to repeated sessions of Argon Plasma Coagulation (APC) and was successfully treated with trans-catheter arterial embolisation of gastro-duodenal artery. Keywords: Gastric antral vascular ectasia, Bleeding, Watermelon stomach, Argon plasma coagulation, Continuous... https://www.ojs.jpma.org.pk/index.php/public_html/article/view/533
spellingShingle Laima Alam
Ayesha Usmani
Successful treatment of refractory Gastric Antral Vascular Ectasia (GAVE) in a cirrhotic patient with transcatheter arterial embolisation in a tertiary care facility in Pakistan: a case report
Journal of the Pakistan Medical Association
title Successful treatment of refractory Gastric Antral Vascular Ectasia (GAVE) in a cirrhotic patient with transcatheter arterial embolisation in a tertiary care facility in Pakistan: a case report
title_full Successful treatment of refractory Gastric Antral Vascular Ectasia (GAVE) in a cirrhotic patient with transcatheter arterial embolisation in a tertiary care facility in Pakistan: a case report
title_fullStr Successful treatment of refractory Gastric Antral Vascular Ectasia (GAVE) in a cirrhotic patient with transcatheter arterial embolisation in a tertiary care facility in Pakistan: a case report
title_full_unstemmed Successful treatment of refractory Gastric Antral Vascular Ectasia (GAVE) in a cirrhotic patient with transcatheter arterial embolisation in a tertiary care facility in Pakistan: a case report
title_short Successful treatment of refractory Gastric Antral Vascular Ectasia (GAVE) in a cirrhotic patient with transcatheter arterial embolisation in a tertiary care facility in Pakistan: a case report
title_sort successful treatment of refractory gastric antral vascular ectasia gave in a cirrhotic patient with transcatheter arterial embolisation in a tertiary care facility in pakistan a case report
url https://www.ojs.jpma.org.pk/index.php/public_html/article/view/533
work_keys_str_mv AT laimaalam successfultreatmentofrefractorygastricantralvascularectasiagaveinacirrhoticpatientwithtranscatheterarterialembolisationinatertiarycarefacilityinpakistanacasereport
AT ayeshausmani successfultreatmentofrefractorygastricantralvascularectasiagaveinacirrhoticpatientwithtranscatheterarterialembolisationinatertiarycarefacilityinpakistanacasereport