LIGADURA ENDOSCÓPICA EN ECTASIA VASCULAR
GÁSTRICA ANTRAL: INFORME DE CASO.
Abarca Paúl 1, Benítez Cristian 2*, Bravo Paula2.
La ectasia vascular gástrica antral (GAVE), causa el 4% de las hemorragias
digestivas altas no varicosas, la incidencia es superior en mujeres mayores
a 60 años. Existen varias modalidades terapéuticas, entre las más utilizadas
se encuentra la terapia endoscópica: coagulación con argón plasma y
ligadura con bandas elásticas.
Presentamos el caso de una paciente femenina de 60 años, sin antecedentes
patológicos personales de importancia, quien presenta desde hace
aproximadamente 6 meses melenas que se acompañan de astenia, en los
exámenes complementarios se evidencia anemia severa con necesidad de
múltiples transfusiones de hemoderivados. En la endoscopia digestiva alta
con signos de ectasia vascular a nivel de antro pilórico. Se le realizan dos
sesiones de ligadura con bandas a nivel de antro, tras lo cual hubo mejoría
clínica de la paciente.
El tratamiento elegido, mostró buenos resultados en la paciente,
presentado mejoría clínica en un periodo inferior a dos meses posterior al
inicio de su tratamiento endoscópico, no requirió nuevas transfusiones ni
hospitalizaciones.
Antral gastric vascular ectasia (GAVE), causes 4% of non-varicose upper
gastrointestinal bleeding, the incidence is higher in women older than 60
years. There are several therapeutic modalities, among the most used is
endoscopic therapy: argon plasma coagulation and ligation with elastic
bands.
We present the case of a 60-year-old female patient, with no signicant
personal pathological history, who has had melenas accompanied by
asthenia for approximately 6 months. Complementary examinations show
severe anemia with the need for multiple transfusions of blood products. In
upper gastrointestinal endoscopy with signs of vascular ectasia at the level
of the pyloric antrum. Two sessions of ligation with bands were performed at
the antrum level, after which there was clinical improvement in the patient.
The treatment selected, showed satisfactory results in this patient with
signicant clinical improvement in less than a two-month period after the
initial session; the patient didn’t require further transfusion or hospitalization.
REPORTE DE CASO
Revista Médica Vozandes
Volumen 33, Número 1, 2022
Abstract
ENDOSCOPIC LIGATION IN ANTRAL
GASTRIC ECTASIA: CASE REPORT
45
Resumen
Palabras clave: Estómago en sandía, hemorragia digestiva, melena, ligadura, endoscopia gastrointestinal.
Forma de citar este artículo: Abarca
P, Benítez C, Bravo P. LIGADURA
ENDOSCÓPICA EN ECTASIA VASCULAR
GÁSTRICA ANTRAL: INFORME DE
CASO. Rev Med Vozandes. 2022; 33 (1):
45 - 48
1.Hospital Vozandes Quito. Médico del Servicio de
Gastroenterologia. Quito – Ecuador.
2.Hospital San Vicente de Paúl. Médico del Servicio de
Medicina Interna. Ibarra – Ecuador.
ORCID ID:
Abarca Paúl
orcid.org/0000-0002-2328-6203
Benítez Cristian
orcid.org/0000-0002-4983-0609
Bravo Paula
orcid.org/0000-0002-8772-2422
*Corresponding author: Benítez Cristian
E-mail: gabriel1994181@hotmail.com
Este artículo está bajo una
licencia de Creative Com-
mons de tipo Reconocimien-
to – No comercial – Sin obras
derivadas 4.0 International.
Received: 15 – Aug – 2021
Accepted: 29 – Jan – 2022
Publish: 01 – Mar – 2022
Conflict of interest: The authors have full
freedom of manuscript preparation, and there were no
potential conicts of interest.
CARE 2017 Check List statement: The authors
have real the CARE 2017 Check List and the
manuscript was prepared and revised according
to the CARE 2017 Checklist.
Financial disclosure: The authors have no nan-
cial relationships relevant to this article to disclose.
Authors’ contribution: The authors equally
contributed to this work: study conception and design,
acquisition of data, analysis and interpretation of data,
drafting of manuscript and critical revision.
DOI: 10.48018/rmv.v33.i1.3
Keywords: Stomach, watermelon; gastrointestinal hemorrhage; melena, ligation; endoscopes, gastrointestinal.