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Anemia na ectasia vascular do antro gástrico
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Resumo(s)
A ectasia vascular do antro gástrico (GAVE) é caracterizada por malformações vasculares da mucosa e da submucosa gástrica, que se associam a hemorragia recorrente e consequentemente a anemia crónica. O tratamento eficaz desta patologia continua a ser um desafio e tem vindo a sofrer alterações ao longo do tempo. Descreve-se um caso clínico de uma doente com cirrose hepática associada ao vírus da hepatite C e com GAVE que se apresentou com anemia ferropénica grave. Após a insuficiência da terapêutica com coagulação árgon-plasma, foi decidido iniciar terapêutica com laqueação elástica com bom sucesso terapêutico.
Gastric antral vascular ectasia (GAVE) is characterized by vascular malformations of the gastric mucosa and submucosa that are associated with recurrent hemorrhage and thus chronic anemia. It is still a challenge to efficiently treat this condition and many changes in treatment have occurred over time. Here we discuss a clinical case of a patient that presented with severe iron deficient anemia, hepatic cirrhosis associated with HVC and GAVE. Given that argon-plasma coagulation was insufficient, elastic band ligation was also performed, with better results.
Gastric antral vascular ectasia (GAVE) is characterized by vascular malformations of the gastric mucosa and submucosa that are associated with recurrent hemorrhage and thus chronic anemia. It is still a challenge to efficiently treat this condition and many changes in treatment have occurred over time. Here we discuss a clinical case of a patient that presented with severe iron deficient anemia, hepatic cirrhosis associated with HVC and GAVE. Given that argon-plasma coagulation was insufficient, elastic band ligation was also performed, with better results.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2018
Palavras-chave
Ectasia vascular do antro gástrico Anemia Laqueação elástica Gastroenterologia