Printable gastric antral vascular ectasia surgical. Gastric antral vascular ectasia surgical pathology. Gastric antral vascular ectasia is an important cause of gastric bleeding. The diagnosis is mainly based on endoscopic pattern and, for uncertain cases, on histology. Introduction gastric antral vascular ectasia gave is a relatively rare cause of gastrointestinal gi bleeding that mainly affects women aged 70 years and older. Hemorrhage from extraantral gastric antral vascular ectasia. Gastric antral vascular ectasia gave syndrome is a rare but relevant entity that may lead to upper gastrointestinal gi bleeding. Showing results for gastric antral vascular ectasia.
Watermelon stomach or gastric antral vascular ectasia gave. Radiofrequency ablation for gastric antral vascular ectasia. Successful treatment of refractory gastric antral vascular ectasia by distal gastrectomy. Ectasia vascular do antro gastrico watermelon stomach. Jan 16, 20 gastric antral vascular ectasia gave is an uncommon but often severe cause of upper gastrointestinal gi bleeding, responsible of about 4% of nonvariceal upper gi hemorrhage. Since then, a better but still incomplete knowledge of this.
Pdf refractory gastric antral vascular ectasia extending to the. The condition is associated with dilated small blood vessels in the pyloric antrum, which is a distal part of the stomach. It may lead to irondeficiency anaemia and transfusion dependence. The vessel pattern resembles the stripes on the surface of a watermelon.
It is one of the diagnoses to consider in older patients with severe anemia and occult or profuse gastrointestinal bleeding especially in those with cardiac, liver, or renal diseases it can be a significant cause of severe acute or chronic gastrointestinal blood loss in the. Joseph galati, is a cause of intestinal bleeding in patients with cirrhosis and. Heterotopic gastric mucosa hgm has been reported to occur at various sites along the gastrointestinal tract and although relatively common, it is often asymptomatic. It is also known as gave, and is a result of portal hypertension, seen in. Causes of upper gastrointestinal bleeding in adults view in chinese setting of anticoagulant use. Watermelon stomach from the endoscopic appearance diagnostic criteria. It is present in 3% of cirrhotics, whereas 3040% of gave patients have portal hypertension. Gave gastric antral vascular ectasia is a particular form of gastropathy associated with chronic gi bleeding and iron deficiency anemia. Gastric antral vascular ectasia gave is an uncommon cause of chronic gastrointestinal bleeding or iron deficiency anemia. This disease was first described in 1953 by ryder et al, but deeply investigated only 25 years later, in 1978, by van vliet et al.
Mar 22, 2018 watermelon stomach, medically known as gastric antral vascular ectasia gave, is a condition where a person suffers from chronic gastrointestinal bleeding leading to iron deficiency anemia. E67e73 gastric antral vascular ectasia gave may be an enigmatic source of nonvariceal upper gi bleeding associated with various systemic diseases such as connective tissue disorders, liver disease, and chronic renal failure. Watermelon stomach, medically known as gastric antral vascular ectasia gave, is a condition where a person suffers from chronic gastrointestinal bleeding leading to iron deficiency anemia. T1 medical and endoscopic therapies for angiodysplasia and gastric antral vascular ectasia. This disease was first described in 1953 by ryder et al 2, but deeply investigated only 25 years later, in 1978, by van vliet et al 3. Gastric antral vascular ectasia or watermelon stomach is a rare cause of chronic gastrointestinal bleeding, often presenting as a chronic iron deficiency anemia.
Figure 2 videocapsule image of gastric antral vascular ectasia. Know the causes, symptoms, treatment and diagnosis of watermelon stomach or gastric antral vascular ectasia gave. A ectasia vascular do antro gastrico gave e uma malformacao vascular do tipo. Gastric antral vascular ectasia gave is an uncommon but often severe cause of upper gastrointestinal gi bleeding, responsible of about 4% of nonvariceal upper gi haemorrhage. It is one of the diagnoses to consider in older patients with severe anemia and occult or profuse gastrointestinal bleeding especially in those with cardiac, liver, or renal diseases.
Is there a special diet i should follow with gave gastric. Gastric antral vascular ectasia water melon stomach is a poorly documented cause of occult upper gastrointestinal blood loss. Insights into the management of gastric antral vascular. Haematemesis 1 day 3 bouts 300ml of altered blood per bout associated with melena no postural symptoms no ho jaundice, abdominal distension, altered sensorium. Figure 3 gastric biopsy showing prominent vascular congestion with thrombosis of the vasculature. Apr 05, 2012 gastric antral vascular ectasia history. Gastric antral vascular ectasia gave, also known as watermelon stomach, is a rare condition affecting the stomach. Gastric antral vascular ectasia how is gastric antral vascular ectasia abbreviated. Pdf gastric antral vascular ectasia gave, though a rare disorder, causes up to 4% of nonvariceal upper gi bleeding.
We describe a case which emphasises the clinical and pathological difficulties that can be encountered in making this elusive diagnosis. Rare acquired vascular disease that may cause blood loss and iron deficiency anemia due to chronic antral hemorrhage associated with connective tissue diseases, particularly systemic sclerosis, but etiology unclear arch pathol lab med 2002. Hemorrhage from extraantral gastric antral vascular ectasia in a patient with duodenal heterotopic gastric mucosa the harvard community has made this article openly available. The differential diagnosis of acute gastritis includes gastric antral vascular ectasia gave and, in particular, portal hypertensive gastropathy phg. However, it was eventually defined in 1984 by jabbari and colleagues. Gastric antral vascular ectasia gave syndrome, also known as watermelon stomach is a significant cause of acute or chronic gastrointestinal blood loss, as well. Gave gastric antral vascular ectasia, also known as watermelon stomach, is a condition in which the blood vessels in the lining of the stomach become fragile and become prone to rupture and bleeding.
Gastric antral vascular ectasia symptoms, causes, diagnosis, and treatment information for gastric antral vascular ectasia watermelon stomach with alternative diagnoses, fulltext book chapters, misdiagnosis, research treatments, prevention, and prognosis. The diagnosis is mainly based on endoscopic findings, usually represented by red spots organized in stripes radially departing from pylorus, and also called watermelon. This lesion causes both acute and chronic gastrointestinal hemorrhage. Gastric antral vascular ectasia prime health channel. Histopathologic changes are not specific for diagnosis of gastric antral vascular ectasia gave syndrome. Feb 01, 2008 this endoscopic video clip is performed by dr. It is responsible for about 4% of nonvariceal upper gi. Gastric antral vascular ectasias gave 2 of 6 video. The sections show antral type gastric mucosa with dilated lamina propria blood vessels and intravascular fibrin thrombi. Treatment of gastric antral vascular ectasia watermelon stomach with endoscopic band ligation christopher d. Gastric antral vascular ectasia gave is an uncommon but important cause of chronic gastrointestinal bleeding.
It is also called watermelon stomach because streaky long red areas that are present in the. Sep 16, 2011 this endoscopic video is from a patient with gastric antral vascular ectasia, also known as gave, performed by dr. The stomach lining exhibits the characteristic stripes of a watermelon when viewed by endoscopy. Gastric antral vascular ectasia an unusual cause of. A case report ting jin, baoying fei, weihua zheng, and yongxiang wang ting jin, wenzhou medical university, wenzhou 325016, zhejiang province, china. Hemorrhage from extraantral gastric antral vascular. Here are links to possibly useful sources of information about gastric antral vascular ectasia. Letter to the editorgastric antral vascular ectasiaboonsiang yew et al dear editor, gastric antral vascular ectasia gave is an uncommon but important cause of chronic gastrointestinal blood loss and iron deficiency anaemia. Your story matters citation gubatan, john, nathan raines, hasan khosravi, tracy l. Jul 02, 2010 i have been diagnosed with hemocromatosis and also gastric antral vascular ectasia. Gastric antral vascular ectasia radiology reference. Definition of gastric antral vascular ectasia in the dictionary. Gastric antral vascular ectasia linkedin slideshare. A phlebotomy in intervals will take the excess iron out of my blood.
Classic noncirrhotic patient is middleaged female with autoimmune disease or atrophic gastritis. It is also referred to as watermelon stomach because when we view it with an endoscope, the stomach lining has visible stripes that make it look similar to the striped skin of a watermelon. Gastric antral vascular ectasia endoscopy international open 2014. Medical and endoscopic therapies for angiodysplasia and. Watermelon stomach or gastric antral vascular ectasia.
Gastric antral vascular ectasia gave syndrome is a rare condition affecting the stomach. Endoscopic therapy has been the mainstay of treatment for gave. Hemorrhage from extra antral gastric antral vascular ectasia in a patient with duodenal heterotopic gastric mucosa the harvard community has made this article openly available. Watermelon stomach gastric antral vascular ectasia gave. It is often associated with systemic diseases such as autoimmune diseases, liver cirrhosis, chronic renal insufficiency and cardiovascular disease. Information and translations of gastric antral vascular ectasia in the most comprehensive dictionary definitions resource on the web. Scar tissue cannot do what healthy liver tissue does make protein, help fight infections, clean the blood, help digest food and store energy.
It is sometimes associated with achlorhydria, atrophic gastritis, and the crest syndrome. Gastric antral vascular ectasia syndrome is a rare entity. We report a patient in whom an oestrogenprogesterone preparation successfully controlled recurrent blood loss. Treatment of gastropathy and gastric antral vascular. Ectasia vascular antral gastrica refractaria con extension al. We herein report a case of gastric outlet syndrome due to a gastric antral vascular ectasia in a patient with a negative history for anemia or gastric bleeding. The management of portal hypertensive gastropathy and gastric antral vascular ectasia. Gastric antral vascular ectasia gave syndrome is an uncommon but welldescribed cause of recurrent upper gastrointestinal bleeding or iron deficiency anaemia. Although first described in 1953 by rider, the disease was actually discovered a year earlier in 1952. Gastric antral vascular ectasia radiology reference article. Case report of gastric antral vascular ectasia gave.
Gastric antral vascular ectasia watermelon stomach is a rare cause of chronic gastrointestinal bleeding and various medical and surgical treatments have been described. Gastric antral vascular ectasia gave is an uncommon but often severe cause of upper gastrointestinal gi bleeding, responsible of about 4% of nonvariceal upper gi hemorrhage. Alternatives for the treatment of gastric antral vascular ectasia gave. Diagnosis and management of gastric antral vascular ectasia. Mar 15, 2008 portal hypertensive gastropathy phg and gastric antral vascular ectasia gave are two distinct gastric mucosal lesions that may cause acute andor chronic upper gastrointestinal hemorrhage in patients with cirrhosis. Treatment of gastropathy and gastric antral vascular ectasia. The syndrome was first described in 1953 by ryder et al in the gastrectomy specimen of an elderly woman. Ideal sources for wikipedia s health content are defined in the guideline wikipedia. The specimen showed vascular ectasia, fibromuscular hyperplasia, and fibrin thrombosis, especially localized in the. Gastric antral vascular ectasia watermelon stomachan. Wheelar was the first person to diagnose this condition in 1979. This condition can be associated with some other diseases such as cirrhosis, autoimmune diseases and others. Persistent antral bleeding over stigmata of argon plasma coagulation, like pale. Gastric antral vascular ectasias gave have been increasingly recognized as an uncommon cause of chronic gastrointestinal bleeding and anemia, although their underlying pathogenesis is not completely well understood.
Gastric antral vascular ectasia definition of gastric. Gastric antral vascular ectasia how is gastric antral. Gastric antral vascular ectasia successfully controlled by. It is associated with upper gastrointestinal bleeding. Gastric antral vascular ectasia gave is a condition where the stomach lining bleeds in multiple locations. The person affected from water melon stomach has dilated small blood vessels in the last part of the stomach, which is the antrum. It is suggested that the diagnostic possibility of gastric antral vascular ectasia should be considered in any elderly patient, more so in females, with persistent unexplained iron deficiency anaemia. A distinct vascular lesion in the pyloric antrum that is characterized by tortuous dilated blood vessels ectasia radiating outward from the pylorus. Introduction gastric antral vascular ectasia gave is a rare disorder characterised by upper gi bleeding, chronic irondeficiency anaemia and endoscopic findings of columns of red tortuous vessels along the longitudinal folds of the antrum of the stomach. The etiology of gave has not been fully explored and remains controversial.
Successful treatment of refractory gastric antral vascular. Distinctive pattern of gastric antral vascular changes with an associate distinctive endoscopic appearance. Gastric antral vascular ectasia gave syndrome, also known as watermelon stomach, is a rare but wellrecognised cause of chronic upper gastrointestinal blood loss. A list of lyrics, artists and songs that contain the term gastric antral vascular ectasia from the website. Treatment of gastric antral vascular ectasia watermelon. Gastric antral vascular ectasia gave is a capillarytype vascular malformation. Jun 26, 2015 gastric antral vascular ectasia gave syndrome, also known as watermelon stomach, is a rare but wellrecognised cause of chronic upper gastrointestinal blood loss. We use cookies to give you the best possible experience on our website. This endoscopic video is from a patient with gastric antral vascular ectasia, also known as gave, performed by dr. Portal hypertensive gastropathy phg and gastric antral vascular ectasia gave are two distinct gastric mucosal lesions that may cause acute andor chronic upper gastrointestinal hemorrhage in patients with cirrhosis. Endoscopic image of gastric antral vascular ectasia seen as a radial pattern around the pylorus before top and after bottom treatment with argon plasma. Gastric antral vascular ectasia gave syndrome, also known as watermelon stomach is a significant cause of acute or chronic gastrointestinal blood loss in the. Gastric antral vascular ectasia is a rare and severe cause of upper gastrointestinal bleeding, responsible for about 4% of nonvariceal upper gastrointestinal. Pathology outlines gastric antral vascular ectasia gave.
Joseph galati, liver specialists of texas, based in houston, texas. Gastric antral vascular ectasia gave is a rare clinical disease which can cause recurrent upper gastrointestinal gi tract bleeding with characteristic endoscopic and histological features. Gastric antral vascular ectasia is a rare and severe cause of upper gastrointestinal bleeding, responsible for about 4% of nonvariceal upper gastrointestinal haemorrhage. Is there a special diet i should follow with gave gastric antral vascular ectasia or food i should avoid. Scar tissue forms because of injury or longterm disease. Whereas phg is associated with portal hypertension, gave may present in patients without portal hypertension or liver disease. Endoscopic treatment for gastric antral vascular ectasia.
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