Gastric vascular ectasia in children: Case reports

Membreño-Ortíz, G; Miranda-Barbachano, K; Flores-Calderón, J.; González-Ortiz, Beatriz; Siordia-Reyes, Alicia Georgina

doi:10.1016/j.rgmxen.2016.02.002

Cited by 1 publication

(1 citation statement)

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“…Khan et al described the largest and most comprehensive series describing 23 APC procedures for GI lesions in children: successful hemostasis rate and re-bleeding rate were 66.7% (8/12) and 25% (3/12) ( 22 ). Another series of three children with gastric AD reported the need for a second or third APC procedure for residual lesion or re-bleeding in two ( 23 ). Reviews on adult series have reported the re-bleeding rates ranging from 11 to 19% and 2 to 10% for small intestine and colon lesions, respectively ( 4 , 24 ).…”

Section: Discussionmentioning

confidence: 99%

Application of Argon Plasma Coagulation for Gastrointestinal Angiodysplasia in Children— Experience From a Tertiary Center

Yeh

Chen

et al. 2022

Front. Pediatr.

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BackgroundArgon plasma coagulation (APC) has been applied in adults to treat various diseases, including vascular lesions in the gastrointestinal (GI) tract. However, angiodysplasia (AD) is an uncommon cause of pediatric GI bleeding, while the experience of treating AD with APC was rarely reported.MethodsFive children with AD in the GI tract successfully treated with APC were reviewed.ResultsThree of the five patients were girls, and the age at diagnosis ranged from 1.5 months to 10.5 years of age. One patient with gastric AD manifested with tarry stool, and the rest had colonic AD, which caused various degrees of bloody stool. Three patients had evident anemia. All patients received an endoscopic diagnosis, and two had compatible findings in radiographic exams. Each patient underwent one APC treatment session, and none encountered procedure-related complications or re-bleeding.ConclusionAD can be an etiology of GI bleeding even in neonates. APC is an effective and safe therapy for symptomatic AD in children.

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