What is your preferred approach in treating recurrent bleeding from GAVE?

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.

I have had 3 patients over last 3 years that failed APC. In each case, RFA was well tolerated and was definite therapy.

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 ...