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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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Kamal Ahmed Amer amer, "Effect of Moderate Aerobic Exercises on Liver Function in Non-Alcoholic Fatty Liver Disease in University Students", physical therapy faculty, 2020
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Department Related Publications
Ahmed Attia Abdelmoeti Abdulbaky, "measurement of splenic stiffness as Apredictor of oesophageal varices in patients of liver cirrhosis", AFRO EGYPTIAN JOURNAL OF INFECTIOUS AND ENDEMIC DISEASES, 2017
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Halle Ismail Mouhammed, "Frequency of Cholelithiasis in Patients with Chronic Liver Disease: A Hospital-Based Study دراسة معدل تردد حصوات المرارة فى مرضى الكبد المزمن", جامعة الزقازيق, 2016
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Halle Ismail Mouhammed, "Apoptotic Shards Of Cytokeratin 18 Point To Steatohepatitis In Patients With Non Alcoholic Hepatic Steatosis كسور الكيراتين الخلوى 18 الناتجة عن الموت المبرمج للخلايا كمؤشر لحدوث التهاب الكبد المتدهن فى المرضى الذين يعانون من تدهن الكبد غ", المجلة الطبية لجامعة القاهرة, 2011
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Halle Ismail Mouhammed, "Clinical Utility Of Plasma Osteopontin In HCV-Related Chronic Liver Disease Patients الفائدة الإكلينيكية للاوستيوبونتين في بلازما مرضى الفيروس الكبدى المزمن ج", المجلة الطبية لجامعة القاهرة, 2011
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