Copyright
©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jun 16, 2017; 9(6): 263-266
Published online Jun 16, 2017. doi: 10.4253/wjge.v9.i6.263
Published online Jun 16, 2017. doi: 10.4253/wjge.v9.i6.263
Endoscopic resolution and recurrence of gastric antral vascular ectasia after serial treatment with argon plasma coagulation
Shashank Garg, Nicholas Nickl, Division of Digestive Diseases and Nutrition, Department of Medicine, University of Kentucky, Lexington, KY 40536, United States
Bilal Aslam, Department of Medicine, University of Kentucky, Lexington, KY 40536, United States
Author contributions: Garg S contributed to study concept, IRB approval, and data analysis; Garg S and Aslam B drafted the initial manuscript and data entry; Nickl N critically and intellectualy revised the manuscript, and approved the final manuscript.
Institutional review board statement: This study was approved by University of Kentucky’s Institutional Review Board.
Conflict-of-interest statement: All the authors have no conflict of interest related to the manuscript.
Data sharing statement: No additional data are available for sharing.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Shashank Garg, MBBS, Division of Digestive Diseases and Nutrition, Department of Medicine, University of Kentucky, 800 Rose St, MN 649, Lexington, KY 40536, United States. shashank.garg@uky.edu
Telephone: +1-410-4467797 Fax: +1-859-2579287
Received: December 8, 2016
Peer-review started: December 9, 2016
First decision: January 18, 2017
Revised: February 11, 2017
Accepted: April 23, 2017
Article in press: April 24, 2017
Published online: June 16, 2017
Peer-review started: December 9, 2016
First decision: January 18, 2017
Revised: February 11, 2017
Accepted: April 23, 2017
Article in press: April 24, 2017
Published online: June 16, 2017
Core Tip
Core tip: Argon plasma coagulation (APC) has a good short-term success rate (> 80%) in improving symptoms related to gastric antral vascular ectasia (GAVE). However, GAVE related symptoms can recur in up to 50% of patients. This is the first study to evaluate resolution of GAVE after treatment with APC and its recurrence after successful treatment. The study showed a 40% resolution rate of GAVE after serial treatment with APC. The resolution of GAVE was not associated with number of APC sessions. GAVE was noted to recur in 25% of cases after successful resolution. These results suggest that APC may not be the best modality for treatment of symptomatic GAVE.