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Yıl 2015, Cilt: 1 Sayı: 1, 36 - 39, 18.08.2015

Banu Özulu Türkmen , Aslı Çurgunlu , Onur Kocaş Murat Akyıldız Nergiz Ekmen

https://doi.org/10.5606/fng.btd.2015.007

Öz

Gastric antral vascular ectasia is a rare disorder which is usually detected in elderly woman. It is an important syndrome because it can be a reason of frequent blood transfusions. Patients also should be evaluated for co-existing diseases. Herein, we report a 75-year-old female patient diagnosed as Gastric antral vascular ectasia in our clinic and needed more than 20 units of erythrocyte transfusion during her follow-ups

Anahtar Kelimeler

Elderly patient; frequent transfusion; gastrointestinal hemorrhage

Kaynakça

  • Dulai GS, Jensen DM, Kovacs TO, Gralnek IM, Jutabha R. Endoscopic treatment outcomes in watermelon stomach patients with and without portal hypertension. Endoscopy 2004;36:68-72.
  • Gostout CJ, Viggiano TR, Ahlquist DA, Wang KK, Larson MV, Balm R. The clinical and endoscopic spectrum of the watermelon stomach. J Clin Gastroenterol 1992;15:256-63.
  • Tuveri M, Borsezio V, Gabbas A, Mura G. Gastric antral vascular ectasia--an unusual cause of gastric outlet obstruction: report of a case. Surg Today 2007;37:503-5.
  • Selinger CP, Ang YS. Gastric antral vascular ectasia (GAVE): an update on clinical presentation, pathophysiology 2008;77:131-7. treatment. Digestion
  • Fuccio L, Mussetto A, Laterza L, Eusebi LH, Bazzoli F. Diagnosis and management of gastric antral vascular ectasia. World J Gastrointest Endosc 2013;5:6-13.
  • Chung WJ. Management of portal hypertensive gastropathy and other bleeding. Clin Mol Hepatol 2014;20:1-5.
  • Ripoll C, Garcia-Tsao G. Management of gastropathy and gastric vascular ectasia in portal hypertension. Clin Liver Dis 2010;14:281-95.
  • Lecleire S, Ben-Soussan E, Antonietti M, Goria O, Riachi G, Lerebours E, et al. Bleeding gastric vascular ectasia treated by argon plasma coagulation: a comparison between patients with and without cirrhosis. Gastrointest Endosc 2008;67:219-25.
  • Rider JA, Klotz AP, Kirsner JB. Gastritis with veno-capillary ectasia as a source of massive gastric hemorrhage. Gastroenterology 1953;24:118-23.
  • Kar P, Mitra S, Resnick JM, Torbey CF. Gastric antral vascular ectasia: case report and review of the literature. Clin Med Res 2013;11:80-5.
  • Jabbari M, Cherry R, Lough JO, Daly DS, Kinnear DG, Goresky CA. Gastric antral vascular ectasia: the watermelon stomach. Gastroenterology 1984;87:1165-70.
  • Qureshi K, Al-Osaimi AM. Approach to the management of portal hypertensive gastropathy and gastric antral vascular ectasia. Gastroenterol Clin North Am 2014;43:835-47.
  • Ito M, Uchida Y, Kamano S, Kawabata H, Nishioka M. Clinical comparisons between two subsets of gastric antral vascular ectasia. Gastrointest Endosc 2001;53:764-70.
  • Chaves DM, Sakai P, Oliveira CV, Cheng S, Ishioka S. Watermelon stomach: clinical aspects and treatment with argon plasma coagulation. Arq Gastroenterol 2006;43:191-5.
  • Burak KW, Lee SS, Beck PL. Portal hypertensive gastropathy and gastric antral vascular ectasia (GAVE) syndrome. Gut 2001;49:866-72.
  • Sung JJ, Chan FK, Chen M, Ching JY, Ho KY, Kachintorn U, et al. Asia-Pacific Working Group consensus on non-variceal upper gastrointestinal bleeding. Gut 2011;60:1170-7.
  • Jin T, Fei BY, Zheng WH, Wang YX. Successful treatment of refractory gastric antral vascular ectasia by distal gastrectomy: a case report. World J Gastroenterol 2014;20:14073-5.
  • Bekta M, Tüzün A, ‹dilman Ç, Çınar K, Çoban , Korkut E, Altan M ve ark. Gastrointestinal sistemde argon plazma koagulasyon (APC) uygulaması: Klinik deneyimlerimiz. Akademik Gastroenteroloji Dergisi 2007;6:127-31.
  • Fuccio L, Zagari RM, Serrani M, Eusebi LH, Grilli D, Cennamo V, et al. Endoscopic argon plasma coagulation for the treatment of gastric antral vascular ectasia-related bleeding in patients with liver cirrhosis. Digestion 2009;79:143-50.
  • Herrera S, Bordas JM, Llach J, Ginès A, Pellisé M, Fernández-Esparrach G, et al. The beneficial effects of argon plasma coagulation in the management of different types of gastric vascular ectasia lesions in patients admitted for GI hemorrhage. Gastrointest Endosc 2008;68:440-6.
  • Vargo JJ. Clinical applications of the argon plasma coagulator. Gastrointest Endosc 2004;59:81-8.
  • Chiu YC, Lu LS, Wu KL, Tam W, Hu ML, Tai WC, et al. Comparison of argon plasma coagulation in management of upper gastrointestinal angiodysplasia and gastric antral vascular ectasia hemorrhage. BMC Gastroenterol 2012;12:67.

Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu

Yıl 2015, Cilt: 1 Sayı: 1, 36 - 39, 18.08.2015

Banu Özulu Türkmen , Aslı Çurgunlu , Onur Kocaş Murat Akyıldız Nergiz Ekmen

https://doi.org/10.5606/fng.btd.2015.007

Öz

Gastrik antral vasküler ektazi, özellikle ileri yaş kadın hastalarda g.rülen nadir ancak sık transfüzyon ihtiyacı oluşturabilmesi nedeniyle önemli bir sendromdur. Gastrik antral vasküler ektazi tespit edildiğinde hastanın eşlik edebilecek diğer hastalıklar y.nünde değerlendirilmesi gerekir. Bu yazıda kliniğimizde gastrik antral vasküler ektazi tanısı konan ve takipleri sırasında >20 ünite eritrosit transfüzyonu ihtiyacı olan 75 yaşında bir kadın hasta sunuldu.

Anahtar sözcükler: Yaşlı hasta; sık transfuzyon; gastrointestinal kanama.

Anahtar Kelimeler

Yaşlı hasta; sık transfuzyon; gastrointestinal kanama

Kaynakça

  • Dulai GS, Jensen DM, Kovacs TO, Gralnek IM, Jutabha R. Endoscopic treatment outcomes in watermelon stomach patients with and without portal hypertension. Endoscopy 2004;36:68-72.
  • Gostout CJ, Viggiano TR, Ahlquist DA, Wang KK, Larson MV, Balm R. The clinical and endoscopic spectrum of the watermelon stomach. J Clin Gastroenterol 1992;15:256-63.
  • Tuveri M, Borsezio V, Gabbas A, Mura G. Gastric antral vascular ectasia--an unusual cause of gastric outlet obstruction: report of a case. Surg Today 2007;37:503-5.
  • Selinger CP, Ang YS. Gastric antral vascular ectasia (GAVE): an update on clinical presentation, pathophysiology 2008;77:131-7. treatment. Digestion
  • Fuccio L, Mussetto A, Laterza L, Eusebi LH, Bazzoli F. Diagnosis and management of gastric antral vascular ectasia. World J Gastrointest Endosc 2013;5:6-13.
  • Chung WJ. Management of portal hypertensive gastropathy and other bleeding. Clin Mol Hepatol 2014;20:1-5.
  • Ripoll C, Garcia-Tsao G. Management of gastropathy and gastric vascular ectasia in portal hypertension. Clin Liver Dis 2010;14:281-95.
  • Lecleire S, Ben-Soussan E, Antonietti M, Goria O, Riachi G, Lerebours E, et al. Bleeding gastric vascular ectasia treated by argon plasma coagulation: a comparison between patients with and without cirrhosis. Gastrointest Endosc 2008;67:219-25.
  • Rider JA, Klotz AP, Kirsner JB. Gastritis with veno-capillary ectasia as a source of massive gastric hemorrhage. Gastroenterology 1953;24:118-23.
  • Kar P, Mitra S, Resnick JM, Torbey CF. Gastric antral vascular ectasia: case report and review of the literature. Clin Med Res 2013;11:80-5.
  • Jabbari M, Cherry R, Lough JO, Daly DS, Kinnear DG, Goresky CA. Gastric antral vascular ectasia: the watermelon stomach. Gastroenterology 1984;87:1165-70.
  • Qureshi K, Al-Osaimi AM. Approach to the management of portal hypertensive gastropathy and gastric antral vascular ectasia. Gastroenterol Clin North Am 2014;43:835-47.
  • Ito M, Uchida Y, Kamano S, Kawabata H, Nishioka M. Clinical comparisons between two subsets of gastric antral vascular ectasia. Gastrointest Endosc 2001;53:764-70.
  • Chaves DM, Sakai P, Oliveira CV, Cheng S, Ishioka S. Watermelon stomach: clinical aspects and treatment with argon plasma coagulation. Arq Gastroenterol 2006;43:191-5.
  • Burak KW, Lee SS, Beck PL. Portal hypertensive gastropathy and gastric antral vascular ectasia (GAVE) syndrome. Gut 2001;49:866-72.
  • Sung JJ, Chan FK, Chen M, Ching JY, Ho KY, Kachintorn U, et al. Asia-Pacific Working Group consensus on non-variceal upper gastrointestinal bleeding. Gut 2011;60:1170-7.
  • Jin T, Fei BY, Zheng WH, Wang YX. Successful treatment of refractory gastric antral vascular ectasia by distal gastrectomy: a case report. World J Gastroenterol 2014;20:14073-5.
  • Bekta M, Tüzün A, ‹dilman Ç, Çınar K, Çoban , Korkut E, Altan M ve ark. Gastrointestinal sistemde argon plazma koagulasyon (APC) uygulaması: Klinik deneyimlerimiz. Akademik Gastroenteroloji Dergisi 2007;6:127-31.
  • Fuccio L, Zagari RM, Serrani M, Eusebi LH, Grilli D, Cennamo V, et al. Endoscopic argon plasma coagulation for the treatment of gastric antral vascular ectasia-related bleeding in patients with liver cirrhosis. Digestion 2009;79:143-50.
  • Herrera S, Bordas JM, Llach J, Ginès A, Pellisé M, Fernández-Esparrach G, et al. The beneficial effects of argon plasma coagulation in the management of different types of gastric vascular ectasia lesions in patients admitted for GI hemorrhage. Gastrointest Endosc 2008;68:440-6.
  • Vargo JJ. Clinical applications of the argon plasma coagulator. Gastrointest Endosc 2004;59:81-8.
  • Chiu YC, Lu LS, Wu KL, Tam W, Hu ML, Tai WC, et al. Comparison of argon plasma coagulation in management of upper gastrointestinal angiodysplasia and gastric antral vascular ectasia hemorrhage. BMC Gastroenterol 2012;12:67.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Yazarlar

Banu Özulu Türkmen

Aslı Çurgunlu

Onur Kocaş Bu kişi benim

Murat Akyıldız Bu kişi benim

Nergiz Ekmen Bu kişi benim

Yayımlanma Tarihi 18 Ağustos 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 1 Sayı: 1

Kaynak Göster

APA Özulu Türkmen, B., Çurgunlu, A., Kocaş, O., … Akyıldız, M. (2015). Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, 1(1), 36-39. https://doi.org/10.5606/fng.btd.2015.007
AMA Özulu Türkmen B, Çurgunlu A, Kocaş O, Akyıldız M, Ekmen N. Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. Ağustos 2015;1(1):36-39. doi:10.5606/fng.btd.2015.007
Chicago Özulu Türkmen, Banu, Aslı Çurgunlu, Onur Kocaş, Murat Akyıldız, ve Nergiz Ekmen. “Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1, sy. 1 (Ağustos 2015): 36-39. https://doi.org/10.5606/fng.btd.2015.007.
EndNote Özulu Türkmen B, Çurgunlu A, Kocaş O, Akyıldız M, Ekmen N (01 Ağustos 2015) Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1 1 36–39.
IEEE B. Özulu Türkmen, A. Çurgunlu, O. Kocaş, M. Akyıldız, ve N. Ekmen, “Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu”, İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, c. 1, sy. 1, ss. 36–39, 2015, doi: 10.5606/fng.btd.2015.007.
ISNAD Özulu Türkmen, Banu vd. “Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1/1 (Ağustos2015), 36-39. https://doi.org/10.5606/fng.btd.2015.007.
JAMA Özulu Türkmen B, Çurgunlu A, Kocaş O, Akyıldız M, Ekmen N. Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2015;1:36–39.
MLA Özulu Türkmen, Banu vd. “Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, c. 1, sy. 1, 2015, ss. 36-39, doi:10.5606/fng.btd.2015.007.
Vancouver Özulu Türkmen B, Çurgunlu A, Kocaş O, Akyıldız M, Ekmen N. Sık kan transfüzyonunun nadir nedeni, gastrik antral vasküler ektazi: Olgu sunumu. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2015;1(1):36-9.