GASTROİNTESTİNAL SİSTEM KANAMALI HASTADA OTOİMMÜN HEMOLİTİK ANEMİ VE GASTRİK ANTRAL VASKÜLER EKTAZİ SENDROMU BİRLİKTELİĞİ: BİR OLGU SUNUMU
Giriş: Gastrik antral vasküler ektazi(GAVE) nadir ancak gastrointestinal sistem (GİS) kanamalar ile birlikteliğinin sık görüldüğü bir sendromdur. Başta yumuşak doku hastalıkları olmak üzere otoimmün hastalıklarla beraberliği bildirilmiştir. Olgu: Bir bu vakada 71 yaşında üst GİS kanama sebebiyle takip edildiği sırada endoskopisinde GAVE sendromu ve beraberinde otoimmün hemolitik anemi saptanan hastayı sunmaktayız. Sonuç: GAVE sendromu nadir olmakla birlikte GİS kanama etyolojinde ve otoimmünhemolitik anemi ile yolculuk edebileceği unutulmamalıdır.
AUTOIMMUN HEMOLYTIC ANEMIA AND GASTRIC ANTRAL VASCULAR ECTASIA SYNDROME UNION IN THE PATIENT WITH GASTROINTESTINAL SYSTEM HEMORRHAGE: A CASE REPORT
Introduction: Gastric antral vascular ectasia is a rare syndrome but seen with high incidence of gastro intestinal bleeding. First of all connective tissue disorders, it is reported that associated with autoimmun disease. Case: In this case we present the patient that when followed due to upper gastrointestinal bleeding, detected GAVE syndrome in endoscopy and autoimmun hemolyticanemia. Conclusion: GAVE syndrome is rare, but it should be noted that GIS bleeding etiology and autoimmune haemolytic anemia can travel.
___
- Fuccio L, Mussetto A, Laterza L, Eusebi LH, Bazzoli F. Diagnosis and management of gastric antral vascular ectasia. World J Gastrointest Endosc. 2013; 5(1): 6–13.
- Rider JA, Klotz AP, Kirsner JB. Gastritis with veno-capillary ectasia as a source of massive gastric hemorrhage. Gastroenterology. 1953;24(1):118–23.
- Van Vliet AC, Ten Kate FJ, Dees J, Van Blankenstein M. Abnormal blood vessels of the prepyloric antrum in cirrhosis of the liver as a cause of chronic gastrointestinal bleeding. Endoscopy. 1978;10(2):89–94.
- Stotzer PO, Willén R, Kilander AF. Watermelon stomach: not only an antral disease. Gastrointest Endosc. 2002;55(7):897–900.
- Singh D, Shill M, Kaur H. The watermelon rectum. J Clin Gastroenterol. 2001;33(2):164–6.
- Ito M, Uchida Y, Kamano S, Kawabata H, Nishioka M. Clinical comparisons between two subsets of gastric antral vascular ectasia. Gastrointest Endosc. 2001;53(7):764–70.
- Gilliam JH, Geisinger KR, Wu WC, Weidner N, Richter JE. Endoscopic biopsy is diagnostic in gastric antral vascular ectasia. The "watermelon stomach". DigDisSci. 1989;34(6):885–8.
- Payen JL, Calès P, Voigt JJ, Barbe S, Pilette C, Dubuisson L, Desmorat H, Vinel JP, Kervran A, Chayvialle JA. Severe portal hypertensive gastropathy and antral vascular ectasia are distinct entities in patients with cirrhosis. Gastroenterology. 1995;108(1):138–44.
- Gostout CJ, Viggiano TR, Ahlquist DA, Wang KK, Larson MV, Balm R. The clinical and endoscopic spectrum of the watermelon stomach. J Clin Gastroenterol. 1992;15(3):256–63.
- Goel A, Christian CL. Gastric antral vascular ectasia (watermelon stomach) in a patient with Sjögren's syndrome. J Rheumatol. 2003;30(5):1090–2.
- Archimandritis A, Tsirantonaki M, Tzivras M, Hatzis G, Davaris P. Watermelon stomach in a patient with vitiligo and systemic lupus erythematosus. Clin Exp Rheumatol. 1996;14(2):227–8.
- Ayker E, Çınar MS, Göközdoğu G, Aksoy Z, Bambul N. Otoimmün Hemolitik Anemi. Göztepe Tıp Dergisi 2001;16:108- 110.
- Selinger CP, Ang YS. Gastric antral vascular ectasia (GAVE): an update on clinical presentation, pathophysiology and treatment. Digestion. 2008;77(2):131–7.
- ISSN: 1305-5151
- Başlangıç: 1995
- Yayıncı: İzmir Bozyaka Eğitim ve Araştırma Hastanesi
Sayıdaki Diğer Makaleler
PAROKSİSMAL HEMİKORE-BALLİSMUS: OLGU SUNUMU
AİLE HEKİMLİĞİ UZMANLIK ÖĞRENCİLERİ GÖZÜYLE YAŞLILIK NASIL ALGILANIYOR?
SAFRA KESESİ KANSERLERİNİN TANI VE TEDAVİ SORUNLARININ RETROSPEKTİF OLARAK DEĞERLENDİRİLMESİ
Şafak ŞAHİN, Mehmet YILDIRIM, Ahmet Deniz UÇAR, Enver İLHAN, Serdar AYDOĞAN