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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:
Nagla Abdel-Moneim AbdulWahab
Staff Zu Site
Abstract In Staff Site
Journal:
Afro-Egypt J Infect Endem Dis Afro-Egypt J Infect Endem Dis
Volume:
Keywords :
Argon Plasma Coagulation versus Endoscopic Band
Abstract:
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
Nagla Abdel-Moneim AbdulWahab, "Vitamin D Profile : Can It Affect The Response To Standard Hepatitis C Treatment In Egyptian Patients ?", المجلة الافريقية المصرية للأمراض المعدية والمتوطنة, 2015
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Nagla Abdel-Moneim AbdulWahab, "Bacteriological and Immunological Study in Diabetic Foot", مجلة الجمعية المصرية للميكروبيولوجيا الطبية, 2013
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Nagla Abdel-Moneim AbdulWahab, "Impact of Insulin Resistance on Progression of Hepatitis C Patients and Their Response to Combined Interferon and Ribavirin Therapy", المجلة العلمية الطبية لكلية طب الأزهر (بنات), 2011
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Nagla Abdel-Moneim AbdulWahab, "Helicobacter Pylori Infection and its Response to Treatment in Diabetic Patients Versus non Diabetics", مجلة الجمعية المصرية للميكروبيولوجيا الطبية, 2013
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Nagla Abdel-Moneim AbdulWahab, "Clinical and Epidemiologic Study of Hepatitis C Virus Genotype 4 Infection Among Patients with B Cell non Hodgkin's Lymphoma", المجلة الأفريقية المصرية للأمراض المعدية والمتوطنة, 2013
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Department Related Publications
Taghreed Mohamed Abdallah Mahmud, "MELD Score as a Predictor of Treatment Response of ‘Difficult to Treat’ Chronic HCV Patients", Zagazig University. Faculty of Medicine. Endemic and Tropical Medicine Department http://mis.zu.edu.eg/ajied/home.aspx, 2019
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Halle Ismail Mouhammed, "Ghrelin: Can It Affect The Nutrition And Morbidity In Cirrhotic Patients? الجريلين: هل يستطيع أن يؤثر على التغذية والنسبة المرضية فى مرضى التشمع الكبدى؟", المجلة العلمية لكلية طب بنات الأزهر, 2007
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Ahmed Salah Mohamed Behery, "Persistent Elevation of Liver Enzymes during Pegylated Interferon Therapy of Chronic Hepatitis C Virus: Role of Occult Hepatitis B", بحث مشترك منشور بمجلة ابحاث امراض الجهاز الهضمي والكبد, 2012
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Mohammed Hassan Ali Emara Alzenan, "تغيرات تدفق الدم بالوريد البابى ووظائف الكبد أثناء صيام شهر رمضان في فصل الصيف; دراسة تجريبية Changes in portal blood flow and liver functions in cirrhotics during Ramadan fasting in the summer; a pilot study", Shahid Beheshti Medical University, 2016
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Halle Ismail Mouhammed, "تغيرات تدفق الدم بالوريد البابى ووظائف الكبد أثناء صيام شهر رمضان في فصل الصيف; دراسة تجريبية Changes in portal blood flow and liver functions in cirrhotics during Ramadan fasting in the summer; a pilot study", Shahid Beheshti Medical University, 2016
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