摘要
探讨内镜下双极电止血导管治疗胃窦毛细血管扩张症(gastric antral vascular ectasia,GAVE)的可行性及疗效。选择6例2018年1月—2019年12月在宁波大学医学院附属医院确诊为GAVE的患者行内镜下双极电止血导管止血治疗,观察手术情况及治疗效果。6例患者均成功接受内镜下止血术,手术时间25~45 min,平均32 min。5例患者仅予1次内镜下治疗,1例患者予2次内镜下治疗,平均1.17次。无一例出现与内镜治疗相关的并发症。术后随访2~25个月,平均10.8个月,所有患者术后出血控制,血红蛋白稳定,无需反复输血,复查胃镜提示病灶消退满意。内镜下双极电止血导管治疗GAVE安全可行,具有一定的疗效。
To evaluate the efficacy and feasibility of bipolar electrocoagulation in the treatment of gastric antral vascular ectasia(GAVE).Six patients with GAVE who underwent gastroscopy and bipolar electrocoagulation between January 2018 and December 2019 in the Affiliated Hospital of Medical School of Ningbo University were included in the study.The operation and clinical response were observed.All the 6 patients underwent bipolar electrocoagulation successfully.The mean operation time was 32 min(range 25-45 min).Mean number of sessions required for eradication of GAVE was 1.17.No severe complications related to endoscopic treatment occurred.There was no recurrence of GAVE at a mean time of 10.8 months(range 2-25 months)of follow-up.Stabilization of hemoglobin levels and decrease in blood transfusion requirements along with endoscopically complete or near-complete eradication of GAVE were observed in all patients during the follow-up.Bipolar electrocoagulation in the treatment of GAVE is effective,safe,and simple.
作者
胡柯峰
叶国良
金燕平
丁勇
缪敏
Hu Kefeng;Ye Guoliang;Jin Yanping;Ding Yong;Miao Min(Department of Gastroenterology,The Affiliated Hospital of Medical School of Ningbo University,Ningbo 315020,China)
出处
《中华消化内镜杂志》
CSCD
2021年第9期746-749,共4页
Chinese Journal of Digestive Endoscopy
基金
浙江省医药卫生科技计划项目(2019ZH007,2019KY191)。
关键词
胃窦血管扩张
胃肠出血
内镜下双极电止血导管
Gastric antral vascular ectasia
Gastrointestinal hemorrhage
Bipolar electrocoagulation)
