Journal List > Chonnam Med J > v.45(2) > 1017915

Kim and Lee: Endoscopic Hemoclipping Therapy for Gastric Angiodysplasia in a Child

Abstract

Gastric angiodysplasia is a very rare cause of upper gastrointestinal bleeding in children and adolescents and is considered to be a vascular abnormality with a developmental cause. Gastric angiodysplasia can be managed with various endoscopic methods, including argon plasma coagulation, electrocoagulation, heater probe, sclerotherapy, band ligation, and hemoclipping therapy. We describe a case of gastric angiodysplasia in a 12-year-old boy with hematemesis and melena. Gastroduodenoscopy showed a typical lesion of angiodysplasia with oozing on the posterior wall of the gastric body. We successfully performed endoscopic hemoclipping therapy to heal the bleeding lesion, and no recurrence of bleeding was observed on follow-up. Gastric angiodysplasia should be included in the differential diagnosis of upper gastrointestinal bleeding in children.

Figures and Tables

Fig. 1
Endoscopic finding of gastric angiodysplasia shows telangiectatic cherry red spots and fern-like lesion with oozing on the posterior wall of the gastric body.
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Fig. 2
Endoscopic view of gastric angiodysplasia after the application of hemoclips.
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