Gastric Antral Vascular Ectasia (GAVE) Associated with Systemic Sclerosis: Relapse after Endoscopic Treatment by Argon Plasma Coagulation
スポンサーリンク
概要
- 論文の詳細を見る
In this report, we present a case of gastric antral vascular ectasia (GAVE) associated with systemic sclerosis and interstitial pneumonitis. This case showed resistance to endoscopic treatment using argon plasma coagulation (APC). After initial recognition of GAVE as the origin of persistent anemia, three sessions of APC were performed and dilated vessels on the antrum were eliminated completely. Five months after primary treatment, follow-up endoscopy revealed deformity of the gastric antrum caused by ulcer scars induced by APC, with no vascular ectasia. Ten months later, the patient showed anemia and recurrence of GAVE on endoscopy. Ablation using APC was performed again, thereby eradicating recurrent GAVE completely. At a two months' follow-up, however, recurrent GAVE was indicated. In spite of GAVE eradication by APC, a third recurrence of GAVE was observed after 32 months. During the follow-up period, systemic sclerosis and interstitial pneumonitis were controlled clinically by administration of methyl prednisolone with no aggravation.
- 社団法人 日本内科学会の論文
著者
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Sato Ai
Department of Aging Medicine and Geriatrics, Division of Medicine, Institute on Aging and Adaptation
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SHIBUKAWA Goro
Department of Internal Medicine 2, Fukushima Medical University School of Medicine
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WAKATSUKI Takeru
Department of Internal Medicine 2, Fukushima Medical University School of Medicine
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IMAMURA Hidemichi
Department of Internal Medicine 2, Fukushima Medical University School of Medicine
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Obara Katsutoshi
Department Of Endoscopy Fukushima Medical University Hospital
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Hikichi Takuto
Department Of Endoscopy Fukushima Medical University Hospital
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Takagi Tadayuki
Department Of Gastroenterology Aichi Cancer Center Hospital
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Sato Masaki
Department Of Aeronautics And Space Engineering Tohoku University
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Wakatsuki Takeru
Department Of Gastroenterology And Rheumatology Fukushima Medical University School Of Medicine
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Takahashi Yuta
Department Of Gastroenterology And Rheumatology Fukushima Medical University School Of Medicine
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Shibukawa Goro
Department Of Gastroenterology And Rheumatology Fukushima Medical University School Of Medicine
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Imamura Hidemichi
Department Of Gastroenterology And Rheumatology Fukushima Medical University School Of Medicine
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SAKAMOTO NATSUMI
Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine
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OHIRA HIROMASA
Department of Gastroenterology and Rheumatology
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IRISAWA ATSUSHI
Department of Gastroenterology and Rheumatology
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SATO AI
Department of Internal Medicine 2, Fukushima Medical University School of Medicine
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Hikichi Takuto
Department of Endoscopy, Fukushima Medical University School of Medicine
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Sakamoto Natsumi
Department of Internal Medicine 2, Fukushima Medical University School of Medicine
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