What is your preferred approach in treating recurrent bleeding from GAVE?
What role does TIPS play when other approaches have been exhausted?
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What is your preferred or initial approach in treating recurrent bleeding from GAVE?
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3 Answers
Mednet MemberInvited Expert
Gastroenterology · Emory Clinic Gastroenterology
Answered on
If repeated APC has not helped, I ask our advanced endoscopists to perform RFA. If it is a nodular GAVE, then banding is another option.
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Gastroenterology · GI Specialists Of Georgia
Answered on
I have had 3 patients over last 3 years that failed APC. In each case, RFA was well tolerated and was definite therapy.
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Mednet Member
Gastroenterology · Yale
Answered on
Banding has been associated with decreased recurrence/hospitalization rates, lower transfusion requirements, and higher rates of eradication, leading to lower requirements for retreatment in a systematic review and meta-analysis (Garg et al., PMID 39956467). That being said, I have had instances of ...
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