Response

摘要

"We thank the Editor for the chance to reply to the letter by Gaslightwala and Diehl. They present a case of radiofre-quency ablation (RFA) performed for a patient with Child's A cirrhosis with gastric antral vascular ectasia (GAVE). The patient was refractory to argon plasma coagulation (APC) and underwent 4 RFA sessions. Technical details are provided for the fourth RFA session only. They performed RFA with a HALO~(90) ablation catheter and applied 3 pulses to each site of therapy at 12 J/cm~2. A total of 50 pulses were completed. Bacteremia and sepsis subsequently developed in the patient 17 days after treatment. Although it is entirely possible, it seems unusual for endoscopic thermal therapy to result in such an adverse event more than 2 weeks after completion.