Chonnam Med J.  2009 Aug;45(2):132-135. 10.4068/cmj.2009.45.2.132.

Endoscopic Hemoclipping Therapy for Gastric Angiodysplasia in a Child

• Kim JS
• Lee KY

• KMID: 2172274
• DOI: http://doi.org/10.4068/cmj.2009.45.2.132

Abstract

Gastric angiodysplasia is a very rare cause of upper gastrointestinal bleeding in children and adolescents and is considered to be a vascular abnormality with a developmental cause. Gastric angiodysplasia can be managed with various endoscopic methods, including argon plasma coagulation, electrocoagulation, heater probe, sclerotherapy, band ligation, and hemoclipping therapy. We describe a case of gastric angiodysplasia in a 12-year-old boy with hematemesis and melena. Gastroduodenoscopy showed a typical lesion of angiodysplasia with oozing on the posterior wall of the gastric body. We successfully performed endoscopic hemoclipping therapy to heal the bleeding lesion, and no recurrence of bleeding was observed on follow-up. Gastric angiodysplasia should be included in the differential diagnosis of upper gastrointestinal bleeding in children.

Keyword

Angiodysplasia; Stomach; Gastrointestinal hemorrhage; Hemoclipping

MeSH Terms

Adolescent
Angiodysplasia
Argon Plasma Coagulation
Child
Diagnosis, Differential
Electrocoagulation
Follow-Up Studies
Gastrointestinal Hemorrhage
Hematemesis
Hemorrhage
Humans
Ligation
Melena
Recurrence
Sclerotherapy
Stomach

Figure

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  Fig. 1 Endoscopic finding of gastric angiodysplasia shows telangiectatic cherry red spots and fern-like lesion with oozing on the posterior wall of the gastric body.

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  Fig. 2 Endoscopic view of gastric angiodysplasia after the application of hemoclips.

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