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:
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.
   
     
 
       

Author Related Publications

  • Kamal Ahmed Amer amer, "Frequency of Dermatological Disorders Associated with Hepatitis C Virus Infection in Sharkia Governorate, Egypt", tropical medicine department, 2019 More
  • Kamal Ahmed Amer amer, "Insulin Resistance and Portal Hemodynamic Changes before and after Treatment with New Direct Antiviral Drugs in Chronic Hepatitis C", tropical medicine department, 2019 More
  • Kamal Ahmed Amer amer, "Value of Macrophage Inflammatory Protein 1 Beta and Platelet Indices in Diagnosis of Spontaneous Bacterial Peritonitis", tropical medicine department, 2021 More
  • Kamal Ahmed Amer amer, "Biochemical Hepatic Changes in Chronic Hepatitis C Patients Induced by Sofosbuvir and Daclatasvir with or without Ribavirin Regimens", egyptian microbiology sociaty, 2020 More
  • 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 More

Department Related Publications

  • Sameh Mahmoud Abdelmoneim Mahmud, "Different Factors Correlated to Early Rebleeding in Cirrhotic Patients Treated by Variceal Band ligation versus Endoscopic Sclerotherapy", المجلة الافريقية المصرية للأمراض المعدية والمتوطنة, 2016 More
  • Ashraf Metwally Abdulfatah, "The relationship between expression of Toll-like Receptor 4 in chronic hepatitis C patients and different stages of liver fibrosis", Gastroenterology and Hepatology From Bed to Bench is approved by Iranian Medical Journal Commission, Deputy of Research and Technology, Ministry of He, 2017 More
  • Amal AbdelFattah Gouda Msthry, "Risk of Hepatic Encephalopathy in Diabetic Decompensated Liver Diseased Patients with Post- HCV Liver cirrhosis", كلية الطب جامعة الزقازيق, 2015 More
  • Hossam Mohamed Sayed Mouhammid, "Restrictive versus Liberal Blood Transfusion Strategies in Egyptian Patients with Esophageal Variceal Bleeding", http://www.scirp.org/journal/ojgas, 2016 More
  • Ahmed Mohamed Algebaly Ahmed Kammil, "The association between interleukin‐21 (rs2055979G/T) gene polymorphism and the risk of hepatocellular carcinoma and metastasis in patients with hepatitisCvirus", Journal of CELLULAR BIOCHEMISTRY, 2019 More
Tweet