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Stepwise endoscopic eradication of refractory nodular gastric antral vascular ectasia by use of detachable snare and band ligation

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re 1. A, Endoscopic image from the index endoscopy, demonstrating multiple erythematous friable antral polypoid and nodular lesions ranging in rom 3 to 25 mm in a radial pattern extending… Click to show full abstract

re 1. A, Endoscopic image from the index endoscopy, demonstrating multiple erythematous friable antral polypoid and nodular lesions ranging in rom 3 to 25 mm in a radial pattern extending from the pylorus, representing nodular gastric antral vascular ectasia (GAVE). B, Endoscopic image from econd endoscopy, demonstrating detachable snare ligature deployment over a large area of nodular GAVE with tissue ischemia. C, Endoscopic image the second endoscopy, after detachable snare ligature and endoscopic band deployment over a large area of nodular GAVE. D, Endoscopic e from the second endoscopy, after detachable snare ligature and endoscopic band deployment over areas of nodular GAVE with tissue ischemia. doscopic image from the fourth endoscopy, demonstrating significant improvement in the extent of nodular GAVE. F, Endoscopic images from the through the fourth endoscopies, demonstrating stepwise improvement in nodular GAVE. G, Graphic depiction of patient’s hemoglobin level, blood fusion requirement, and endoscopic therapies over 8-month period before and after initiation of endoscopic ligation therapy of GAVE. GAVE, gastric l vascular ectasia; RBC, red blood cells.

Keywords: nodular gave; band; vascular ectasia; endoscopic; detachable snare

Journal Title: VideoGIE
Year Published: 2017

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