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330501 The Kitakanto medical journal >
Vol.57 (2007) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/1493

Title: Angiodysplasias Successfully Treated with A Combination of Endoscopic Band Lingation and Argon Plasma Coagulation: A Case Report
Authors: Sakamoto, Teruhiko
Kato, Hiroyuki
Matsumoto, Hiroshi
Ohya, Toshihiro
Tago, Ken-ichi
Totsuka, Osamu
Okabe, Toshio
Numaga, Yuki
Yamada, Rieko
Tsunoda, Chihiro
Iesato, Hiroshi
Yokomori, Tadahiro
Haga, Shun-suke
Keywords: angiodysplasia
endoscopic band ligation
argon plasma coagulation
Issue Date: 1-Aug-2007
Publisher: 北関東医学会
Citation: The Kitakanto medical journal. 57(3), 247-250 (2007)
Abstract: A 74-year-old Japanese man was admitted to our hospital due to repeated episodes of upper gastrointestinal (GI) bleeding, anemia and melena, which he had suffered for the preceding two years. We performed several panendoscopic and angiographic examinations, but could not discover the cause of his anemia. In addition, we performed jejunectomy because arteriovenous malformation (AVM) was suspected to exist in the jejunum. However, we found no evidence of AVM in the resected portion of the jejunum. During an endoscopic GI study on his seventh admission, we found hemorrhaging gastric angiodysplasia (AGD) in the upper body of the stomach. Moreover, we found another small AGD in the lower body of the stomach. We treated these lesions endoscopically using a combination of hemoclip, endoscopic band ligation and argon plasma coagulation. When diagnosing patients presenting with the symptoms described herein, the physician should consider small AGDs and check the GI tract accordingly, to prevent unnecessary resections. In the present subject, there has been no further bleeding and no other lesions have been detected in his upper GI on endoscopic examination during a 12-month follow up.
URI: http://hdl.handle.net/10087/1493
ISSN: 1343-2826
Appears in Collections:Vol.57 (2007)

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