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KMID : 1038820170200020134
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Pediatric Gastroenterology, Hepatology & Nutrition
2017 Volume.20 No. 2 p.134 ~ p.137
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Gastric Hemangioma Treated with Argon Plasma Coagulation in a Newborn Infant
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Lee Young-Ah
Chun Peter
Hwang Eun-Ha
Lee Yeoun-Joo
Kim Chang-Won
Park Jae-Hong
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Abstract
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Gastric hemangioma in the neonatal period is a very rare cause of upper gastrointestinal bleeding. We present a case of hemangioma limited to the gastric cavity in a 10-day-old infant. A huge, erythematous mass with bleeding was observed on the lesser curvature side of the upper part of the stomach. Surgical resection was ruled out because the location of the lesion was too close to the gastroesophageal junction. Medical treatment with intravenous H2 blockers, octreotide, packed red blood cell infusions, local epinephrine injection at the lesion site, application of hemoclip, and gel-form embolization of the left gastric artery did not significantly alter the transfusion requirement. Hemostasis was achieved with endoscopic argon plasma coagulation (APC). After two sessions of APC, completeremoval of the lesion was achieved. APC was a simple, safe and effective tool for hemostasis and the ablation of gastric hemangioma without significant complications.
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KEYWORD
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Hemangioma, Stomach, Neonate, Argon plasma coagulation
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