Korean J Gastrointest Endosc.  2000 Sep;21(3):741-745.

A Case of Endoscopic Band Ligation Therapy in Gastric Arteriovenous Malformation

Affiliations
  • 1Research Institute of Digestive Disease, Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.

Abstract

Although various endoscopic treatments, such as laser photocoagulation, electrocoagulation, heater probe, injection have been used for treatment of arteriovenous malformation (AVM), associated complications also have been reported. In order to avoid the complications, elastic band ligation has recently been used as an alternative method for endoscopic treatment of gastric AVM. A 58-year-old man was admitted due to hematemesis and melena. A gastroscopy revealed AVM with vessel exposure and active bleeding at the greater curvature of fundus, and we performed arteriography for emergency embolization, but, we do not find the bleeding vessel. Endoscopic band ligation therapy was performed as an alternative method for control of bleeding. 2 months later, follow-up endoscopy showed disappearance of AVM and no evidence of hemorrhage.

Keyword

Arteriovenous malformation (AVM); Endoscopic band ligation

MeSH Terms

Angiography
Arteriovenous Malformations*
Electrocoagulation
Emergencies
Endoscopy
Follow-Up Studies
Gastroscopy
Hematemesis
Hemorrhage
Humans
Ligation*
Light Coagulation
Melena
Middle Aged
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