ENDOSCOPIC LASER THERAPY OF THE WATERMELON STOMACH

被引:22
|
作者
BJORKMAN, DJ
BUCHI, KN
机构
[1] UNIV UTAH,SCH MED,UTAH LASER INST,SALT LAKE CITY,UT 84132
[2] UNIV UTAH,SCH MED,DEPT INTERNAL MED,DIV GASTROENTEROL,SALT LAKE CITY,UT 84132
[3] VET ADM MED CTR,SALT LAKE CITY,UT 84132
关键词
ECTASIA; ND-YAG LASER; ARGON;
D O I
10.1002/lsm.1900120504
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Endoscopic laser therapy has been used in the treatment of vascular lesions throughout the gastrointestinal tract. The "watermelon stomach" is a pattern of vascular ectasia in the gastric antrum that results in chronic gastrointestinal blood loss and iron deficiency anemia. We have treated 7 transfusion dependent patients with a watermelon stomach using endoscopic laser therapy. Four of these patients were treated with the argon laser and 3 with the Nd:YAG laser. Patient age and prior transfusion requirements were similar in both groups. The mean number of treatments to obliterate vascular lesions and eliminate the need for transfusions was 5.75 +/- 0.89 (SEM) for the argon laser and 2.33 +/- 0.27 for the Nd:YAG laser (P<0.05). Lesions recurred and required retreatment in 1 patient treated with the Nd:YAG laser and 3 patients treated with the argon laser (mean follow-up of 35 months). We conclude that endoscopic laser therapy with either the argon or Nd:YAG laser is an effective treatment modality for antral vascular ectasia (watermelon stomach). The Nd:YAG laser requires fewer treatment sessions than the argon laser to obliterate the lesions without increased risk of complications.
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页码:478 / 481
页数:4
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