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Title:
Žilne ektazije antruma želodca - prikaz primera
Authors:
ID
Urlep, Dejan
(
Author
)
ID
Kavalar, Rajko
(
Author
)
Files:
http://www.dlib.si/details/URN:NBN:SI:doc-ZXRUIQ0H
Language:
Slovenian
Work type:
Not categorized
Typology:
1.04 - Professional Article
Organization:
UM - University of Maribor
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.
Year of publishing:
2006
Number of pages:
str. II-117 - II-123
Numbering:
Letn. 75, supl. II
PID:
20.500.12556/DKUM-56281
UDC:
616.33
ISSN on article:
1318-0347
COBISS.SI-ID:
2496063
NUK URN:
URN:SI:UM:DK:8KSJIEVU
Publication date in DKUM:
21.12.2015
Views:
2891
Downloads:
73
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Record is a part of a journal
Title:
Zdravniški vestnik. glasilo Slovenskega zdravniškega društva
Publisher:
Slovensko zdravniško društvo
ISSN:
1318-0347
COBISS.SI-ID:
32893696
Secondary language
Language:
English
Title:
Gastric antral vascular ectasia (GAVE) - case report
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.
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