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Although patients with gastric ischaemia may require surgical intervention, they can often be treated with conservative measures such as a proton pump inhibitor, broad-spectrum antibiotics, nasogastric tube decompression, fluid resuscitation and total parenteral nutrition. We report a rare case of gastric ischaemia and pneumatosis following therapeutic left gastric artery argon plasma coagulation that was treated with conservative measures.<\/jats:p>","DOI":"10.1136\/bcr-2022-249773","type":"journal-article","created":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T11:33:47Z","timestamp":1661859227000},"page":"e249773","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Conservative management of gastric pneumatosis following left gastric artery embolisation"],"prefix":"10.1136","volume":"15","author":[{"given":"Matthew D","family":"Bloom","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Ladna","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,8,30]]},"reference":[{"key":"2025082713225298000_15.8.e249773.1","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1093\/qjmed\/hcaa108","article-title":"Gastric pneumatosis and its varied pathogenesis","volume":"113","author":"Schattner","year":"2020","journal-title":"QJM"},{"key":"2025082713225298000_15.8.e249773.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2013.07.025"},{"key":"2025082713225298000_15.8.e249773.3","doi-asserted-by":"crossref","first-page":"e445","DOI":"10.1016\/j.crad.2014.07.007","article-title":"Gastric pneumatosis: laboratory and imaging findings associated with mortality in adults","volume":"69","author":"Spektor","year":"2014","journal-title":"Clin Radiol"},{"key":"2025082713225298000_15.8.e249773.4","doi-asserted-by":"crossref","first-page":"3550","DOI":"10.1007\/s10620-017-4807-4","article-title":"Clinical features and outcomes of gastric ischemia","volume":"62","author":"Sharma","year":"2017","journal-title":"Dig Dis Sci"},{"key":"2025082713225298000_15.8.e249773.5","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1097\/00004836-198304000-00013","article-title":"Gastric infarction: a complication of endocarditis due to Staphylococcus aureus","volume":"5","author":"Patel","year":"1983","journal-title":"J Clin Gastroenterol"},{"key":"2025082713225298000_15.8.e249773.6","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1097\/00042737-200604000-00023","article-title":"Ischaemic gastric ulceration with endoscopic healing after revascularization","volume":"18","author":"Becker","year":"2006","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"2025082713225298000_15.8.e249773.7","first-page":"1244","article-title":"Giant gastric ulceration associated with antiphospholipid antibody syndrome","volume":"91","author":"Kalman","year":"1996","journal-title":"Am J Gastroenterol"},{"key":"2025082713225298000_15.8.e249773.8","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1007\/s10120-009-0539-2","article-title":"Gastric ischemia following endoscopic submucosal dissection of early gastric cancer","volume":"13","author":"Probst","year":"2010","journal-title":"Gastric Cancer"},{"key":"2025082713225298000_15.8.e249773.9","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/BF02577155","article-title":"Gastric and splenic infarction: a complication of intraarterial vasopressin infusion","volume":"12","author":"Sweren","year":"1989","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2025082713225298000_15.8.e249773.10","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1002\/hep.1840180107","article-title":"Reduced gastric mucosal blood flow in patients with portal-hypertensive gastropathy","volume":"18","author":"Iwao","year":"1993","journal-title":"Hepatology"},{"key":"2025082713225298000_15.8.e249773.11","doi-asserted-by":"publisher","DOI":"10.1136\/gut.38.3.306"},{"key":"2025082713225298000_15.8.e249773.12","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1159\/000128149","article-title":"The effect of intragastric pressure on gastric blood flow after partial devascularization of the stomach in cats","volume":"12","author":"Varhaug","year":"1980","journal-title":"Eur Surg Res"},{"key":"2025082713225298000_15.8.e249773.13","doi-asserted-by":"publisher","DOI":"10.1007\/BF02090210"},{"key":"2025082713225298000_15.8.e249773.14","doi-asserted-by":"crossref","unstructured":"Bilbao JI , Mart\u00ednez-Cuesta A , Urtasun F , eds. 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