Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 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.

PubMed Disclaimer

Figures

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

References

    1. Burak KW, Lee SS, Beck PL. Portal hypertensive gastropathy and gastric antral vascular ectasia (GAVE) syndrome. Gut. 2001;49:866–872. - PMC - PubMed
    1. Ripoll C, Garcia-Tsao G. Management of Gastropathy and Gastric Vascular Ectasia in Portal Hypertension. Clin Liver Dis. 2010;14:281–295. - PMC - PubMed
    1. Fleischer DE, Sharma VK. Endoscopic Ablation of Barrett’s Esophagus Using the Halo® System. Dig Dis. 2008;26:280–284. - PMC - PubMed
    1. Gross SA, Al-Haddad M, Gill KR, Schore AN, Wallace MB. Endoscopic mucosal ablation for the treatment of gastric antral vascular ectasia with the HALO90 system: a pilot study. Gastrointest Endosc. 2008;67:324–327. - PubMed