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Saignement gastro-intestinal dû à un estomac en pastèque: traitement par coagulation monopolaire

Gastrointestinal blood loss due to watermelon stomach: Monopolar coagulation therapy

  • Case Report
  • Published:
Acta Endoscopica

Résumé

Les auteurs rapportent 5 cas d’anémie sidéropénique consécutive à des ectasies vasculaires antrales. Le traitement endoscopique par coagulation monopolaire (4 à 6 séances) a entrainé une augmentation des taux d’hémoglobine. La prescription de fer a pu être interrompue après traitement. Aucune complication majeure n’a été observée.

Le traitement par coagulation monopolaire paraît sûr et constitue vraisemblablement le traitement de choix de cette affection.

Summary

Five patients with iron deficiency due to gastric antral vascular ectasia are described. Endoscopic treatment with monopolar coagulation therapy (4 to 6 sessions) resulted in increase of haemoglobin concentrations. Iron suppletion was not necessary after treatment. No major complications were seen.

Monopolar coagulation therapy appears to be safe and may be therapy of choice for this disorder.

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Author notes

  1. C. J. J. Mulder

    Present address: Dept. of Hepatogastroenterology, Dept. of Pathology, Rijnstate Hospital, Arnhem

Authors and Affiliations

  1. Dept. of Hepatogastroenterology, Dept. of Pathology, Rijnstate Hospital, Arnhem

    J. D. van Bergeijk, J. W. R. Meyer & J. E. Thies

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  1. J. D. van Bergeijk
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  2. C. J. J. Mulder
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  3. J. W. R. Meyer
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  4. J. E. Thies
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van Bergeijk, J.D., Mulder, C.J.J., Meyer, J.W.R. et al. Saignement gastro-intestinal dû à un estomac en pastèque: traitement par coagulation monopolaire. Acta Endosc 25, 291–296 (1995). https://doi.org/10.1007/BF02963513

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  • DOI: https://doi.org/10.1007/BF02963513

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