Argon Plasma Coagulation in Management of Gastric Antral Vascular Ectasia

氬氣電漿凝固術應用於胃竇血管擴張症之處理

盧龍生(Long-Sheng Lu) ； 邱逸群(Yi-Chun Chiu) ； 吳耿良(Keng-Liang Wu) ； 胡銘倫(Ming-Luen Hu) ； 戴維震(Wei-Chen Tai) ； 郭仲謀(Chung-Mou Kuo) ； 趙景華(King-Wah Chiu) ； 邱世賢(Shue-Shian Chiou) ； 蔡成枝(Seng-Kee Chuah)

《臺灣消化醫學雜誌》 28卷3期 (2011/09) Pp. 29-34

https://doi.org/10.6557/GJT.201109_28(3).0004

摘要

西瓜胃已逐漸成爲腸胃道出血的重要原因。而這篇研究呈現出南台灣醫學中心藉由內視鏡氬氣電漿凝固術在治療出血性西瓜胃的安全性與成效。從2006年1月至2009年12月我們回溯性研究所有接受內視鏡氬氣電漿凝固術的西瓜胃患者。在此研究期間共有19個個案（11位男性和8位女性），我們探討其臨床特徵及診斷特色：如合併症，治療前的血液檢查報告，內視鏡治療療程，是否反覆出血及臨床結果等。平均年齡爲61.8±11.9歲，65%的患者合併有肝硬化，而在此系列追蹤下並無因氬氣電漿凝固術而產生併發症，但再出血率高達78.9%。平均達到止血的治療次數爲2.4±1.4，先前接受過放射線治療有較高的再出血率。總而言之，對於出血性西瓜胃儘管有高的再出血率，氬氣電漿凝固術仍是一個安全及有效的治療方法。

關鍵字

血管擴張症 ； 血管形成異常 ； 胃竇血管擴張症 ； 氬氣電漿凝固術

並列摘要

Watermelon stomach (gastric antral vascular ectasia, GAVE) has become an increasingly important source of gastrointestinal (GI) bleeding. This study report the safety and effectiveness of endoscopic Argon plasma coagulation (APC) in treating hemorrhage of GAVE in a single Medical center in Southern Taiwan. The study retrospectively reviewed medical records of patients with GAVE in upper GI tract who received endoscopic therapy with APC. A total of 19 patients (11 men and 8 women) were enrolled. The mean age was 61.8 years. Sixty-five percent of GAVE patients had co-existing liver cirrhosis. There was no complication related to APC in current series but the rebleeding rate was as high as 78.9%. The mean required treatment session to achieve complete hemostasis was 2.4. Previous radiation therapy had higher rebleeding rates. In brief, APC usually needs several sessions to achieve bleeding control for GAVE due to high rebleeding rate.

並列關鍵字

vascular ectasia ； angiodysplasia ； gastric antral vascular ectasia ； Argon plasma coagulation