Endosc Int Open 2014; 02(02): E67-E73
DOI: 10.1055/s-0034-1365525
Review
© Georg Thieme Verlag KG Stuttgart · New York

Gastric antral vascular ectasia: the evolution of therapeutic modalities

Harini Naidu
1   Department of Internal Medicine, Boston University Medical Center, Boston, Massachusetts, United States
,
Qin Huang
2   Department of Gastroenterology, VA Boston Healthcare System, Boston, Massachusetts, United States
3   Department of Pathology, Harvard Medical School, Boston, Massachusetts, United States
,
Hiroshi Mashimo
2   Department of Gastroenterology, VA Boston Healthcare System, Boston, Massachusetts, United States
3   Department of Pathology, Harvard Medical School, Boston, Massachusetts, United States
› Author Affiliations
Further Information

Publication History

submitted 10 July 2013

accepted after revision 08 January 2014

Publication Date:
15 May 2014 (online)

Gastric Antral Vascular Ectasia (GAVE) may be an enigmatic source of non-variceal upper GI bleeding associated with various systemic diseases such as connective tissue disorders, liver disease, and chronic renal failure. Successful treatment of GAVE continues to be a challenge and has evolved through the years. Currently, given the rapid response, safety, and efficacy, endoscopic ablative modalities have largely usurped medical treatments as first-line therapy, particularly using argon plasma coagulation. However, other newer ablative modalities such as radiofrequency ablation, cryotherapy, and band ligations are promising. This paper is an overview of GAVE and its various endoscopic and medical therapies.

 
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