Document Detail


Endoscopic laser therapy of the watermelon stomach.
MedLine Citation:
PMID:  1405999     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endoscopic laser therapy has been used in the treatment of vascular lesions throughout the gastrointestinal tract. The "watermelon stomach" is a pattern of vascular ectasia in the gastric antrum that results in chronic gastrointestinal blood loss and iron deficiency anemia. We have treated 7 transfusion dependent patients with a watermelon stomach using endoscopic laser therapy. Four of these patients were treated with the argon laser and 3 with the Nd:YAG laser. Patient age and prior transfusion requirements were similar in both groups. The mean number of treatments to obliterate vascular lesions and eliminate the need for transfusions was 5.75 +/- 0.89 (SEM) for the argon laser and 2.33 +/- 0.27 for the Nd:YAG laser (P < 0.05). Lesions recurred and required retreatment in 1 patient treated with the Nd:YAG laser and 3 patients treated with the argon laser (mean follow-up of 35 months). We conclude that endoscopic laser therapy with either the argon or Nd:YAG laser is an effective treatment modality for antral vascular ectasia (watermelon stomach). The Nd:YAG laser requires fewer treatment sessions than the argon laser to obliterate the lesions without increased risk of complications.
Authors:
D J Bjorkman; K N Buchi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Lasers in surgery and medicine     Volume:  12     ISSN:  0196-8092     ISO Abbreviation:  Lasers Surg Med     Publication Date:  1992  
Date Detail:
Created Date:  1992-11-25     Completed Date:  1992-11-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007168     Medline TA:  Lasers Surg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  478-81     Citation Subset:  IM    
Affiliation:
Utah Laser Institute, Salt Lake City.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiodysplasia / surgery*
Gastroscopy*
Humans
Laser Coagulation*
Stomach Diseases / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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