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. 2011 May 16;3(5):105-6.
doi: 10.4253/wjge.v3.i5.105.

Gastroesophageal junction tear from HALO 90 System: A case report

Ellen Gutkin  1 , Alan Schnall
Affiliations

Gastroesophageal junction tear from HALO 90 System: A case report

Ellen Gutkin et al. World J Gastrointest Endosc. .

Abstract

Gastric antral vascular ectasia often results in chronic gastrointestinal bleeding with few options for effective treatment. The Halo(®) 90 system has been newly approved for this indication. A 56 year old male with ETOH cirrhosis and gastrointestinal bleeding from gastric vascular ectasia presented for endoscopy with Halo(®) 90 radiofrequency ablation. Over the past two years he had undergone multiple bipolar electric coagulation and argon plasma coagulation treatments. Despite this therapy, he con-tinued to receive monthly blood transfusions. We therefore opted to treat the vascular anomalies with the Halo(®) 90 system utilizing radiofrequency ablation. Upon withdrawal of the endoscope post procedure, mild resistance and bleeding was noted at the gastroesophageal junction. Repeat endoscopy revealed a submucosal tear at the gastroesophageal junction. This is the first reported complication of the Halo(®) 90 system when used for gastric antral vascular ectasia.

Keywords: Cirrhosis; Complications; Endoscopy; Gastric antral vascular ectasia; Halo® 90; Radiofrequency ablation.

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Figures

Figure 1
Figure 1
Gastric antral vascular ectasia.
Figure 2
Figure 2
Gastroesophageal junction tear.
See this image and copyright information in PMC

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