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Argon Plasma Coagulation versus Endoscopic Band Ligation in Treatment of Gastric Antral Vascular Ectasia in Cirrhotic Patients in Zagazig University Hospitals
Faculty
Medicine
Year:
2019
Type of Publication:
ZU Hosted
Pages:
Authors:
Kamal Ahmed Amer amer
Staff Zu Site
Abstract In Staff Site
Journal:
Afro-Egypt J Infect Endem Dis tropical medicine department
Volume:
Keywords :
Argon Plasma Coagulation versus Endoscopic Band
Abstract:
Background and study aim: The Gastric antral vascular ectasia (GAVE) is one of the causes of upper gastrointestinal bleeding and accounts nearly four percent of all non-variceal upper gastrointestinal hemorrhage. Although Argon Plasma Coagulation is the standard treatment of GAVE, EBL may be used in the treatment of GAVE. This study was done to evaluate the therapeutic effect of APC in comparison to EBL for the treatment of bleeding GAVE in cirrhotic patients. Patients and Methods: Our study was conducted on 36 adult cirrhotic patients with bleeding from GAVE. Patients were divided into 2 groups: 18 patients in each group. Group I was subjected to APC and group II was subjected to EBL. All patients were followed endoscopically after the first endoscopic intervention for 6 months as well as their hemoglobin level had been evaluated monthly during that period. Results: There was a statistically non-significant difference between both treatment groups as regards cessation of bleeding, increase in hemoglobin levels, reduction of transfusion requirements, decreasing of hospital admissions or decreasing of endoscopic recurrence of GAVE during the follow-up period (6 months), but EBL group has a better result than APC group. The application of the EBL technique has significantly increased in the band related complications as hypertrophied polyps and post band ulcerations, which are decreased in the following sessions, in comparison to the APC technique, which had no complications-related. Conclusion: EBL and APC are effective methods in the treatment of bleeding GAVE in cirrhotic patients.
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Department Related Publications
Noha Elsyd AbdulSattar, "Frequency of Hepatocellular Carcinoma among Cirrhotic Patients with Hepatic Focal Lesion(s) and Low Serum Level of Alpha Fetoprotein تواتر سرطان الخلايا الكبدية بين مرضى التشمع الكبدي الذين لديهم بؤر كبدية وانخفاض مستوى الألفا فيتوبروتين", The Medical Journal of Cairo University, 2017
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Ahmed Attia Abdelmoeti Abdulbaky, "Interleukin-6 and C-reactive Protein/Albumin Ratio As Predictors of COVID-19 Severity and Mortality", Wolters Kluwer – Medknow, 2021
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Ahmed Attia Abdelmoeti Abdulbaky, "Evaluation of INR Elevation in Cirrhotic Patients as a Risk Factor for Esophageal Variceal Bleeding", zagazig universty , faculty of medicine, 2017
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Nahla Elsyd Imam Gamal, "الجينات المنظمه لموت الخلايا المبرمج .دراسه هستوكيميائيه مناعيه لبروتيني ال بي سي ال -2 والفسفوبروتين 53 في الاورام الحميده والسرطانيه للامعاء الغليظه", لايوجد, 1900
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Nahla Elsyd Imam Gamal, "القيمه التشخيصيه للسيتوكينز في الالتهاب البريتوني البكتيري التلقائي.", لايوجد, 1900
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