Gastric antral vascular ectasia or watermelon stomach is a rare cause of chronic gastrointestinal bleeding, often presenting as a chronic iron deficiency anemia. Gastric antral vascular ectasia gave is a condition where the stomach lining bleeds in multiple locations. The diagnosis is mainly based on endoscopic findings, usually represented by red spots organized in stripes radially departing from pylorus, and also called watermelon. 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. Gastric antral vascular ectasias gave 2 of 6 video. Gastric antral vascular ectasia gave is an uncommon but often severe cause of upper gastrointestinal gi bleeding, responsible of about 4%. Gastric antral vascular ectasia gave, also known as watermelon stomach, is a rare condition affecting the stomach. The person affected from water melon stomach has dilated small blood vessels in the last part of the stomach, which is the antrum. Apr 05, 2012 gastric antral vascular ectasia history. Gastric antral vascular ectasia gave is an uncommon cause of chronic gastrointestinal bleeding or iron deficiency anemia. Gastric antral vascular ectasia gave is a distinct condition also associated with portal hypertension that can cause acute and chronic upper gastrointestinal blood loss. Is there a special diet i should follow with gave gastric. Gastric antral vascular ectasia gave is a rare but an important cause of upper gastrointestinal bleeding ugib and commonly presents as.
This case describes a typical presentation of a patient with gastric antral vascular ectasia and the treatment course. Antral vascular ectasia eva is a rare entity in liver cirrhosis, whose pathophysiology is still unknown. Watermelon stomach gastric antral vascular ectasia gave. Hemorrhage from extraantral gastric antral vascular ectasia. 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. Gastric antral vascular ectasia gave, called watermelon stomach is rare and has been reported as a cause of nonvariceal gastrointestinal bleeding in 4% of. Gastric antral vascular ectasia gave syndrome, also known as watermelon stomach, is a rare but wellrecognised cause of chronic upper gastrointestinal blood loss. There was extensive vascular ectasia in the distal stomach. Red spots radially departing from pylorus and involving the gastric antrum. Gastric antral vascular ectasia how is gastric antral. This lesion causes both acute and chronic gastrointestinal hemorrhage. A distinct vascular lesion in the pyloric antrum that is characterized by tortuous dilated blood vessels ectasia radiating outward from the pylorus. It is present in 3% of cirrhotics, whereas 3040% of gave patients have portal hypertension. However, it was eventually defined in 1984 by jabbari and colleagues.
Gastric antral vascular ectasia in cirrhotic patients. Gastric antral vascular ectasia in systemic sclerosis. Gastric antral vascular ectasia radiology reference. Jul 02, 2010 is there a special diet i should follow with gave gastric antral vascular ectasia or food i should avoid. Clinical presentation is similar to that of ghp and endoscopy usually shows red spots in the antrum. Scar tissue cannot do what healthy liver tissue does make protein, help fight infections, clean the blood, help digest food and store energy. Treatment of gastric antral vascular ectasia watermelon stomach with endoscopic band ligation article in gastrointestinal endoscopy 682. Histopathologic changes are not specific for diagnosis of gastric antral vascular ectasia gave syndrome. Is there a special diet i should follow with gave gastric antral vascular ectasia or food i should avoid. Gastric antral vascular ectasia gave is an uncommon disorder observed in patients with liver cirrhosis, causing upper gastrointestinal haemorrhage. Gastric antral vascular ectasia a sages wiki article.
The vessel pattern resembles the stripes on the surface of a watermelon. Although first described in 1953 by rider, the disease was actually discovered a year earlier in 1952. 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. Aimsto evaluate the effects of portal decompression on chronic bleeding related to gave in cirrhotic patients. Portal hypertensive gastropathy and gastric antral. It may lead to irondeficiency anaemia and transfusion dependence. Gastric antral vascular ectasia how is gastric antral vascular ectasia abbreviated. Antral motility in patients with cirrhosis with or without gastric antral vascular ectasia. The most frequent clinical presentation is iron deficiency anemia in a female patient older than 60 years.
Gastric antral vascular ectasia linkedin slideshare. Patients with gastric antral vascular ectasia gave are at a higher. Distinctive pattern of gastric antral vascular changes with an associate distinctive endoscopic appearance. N2 portal hypertensive gastropathy phg and gastric antral vascular ectasia gave are two distinct types of gastric mucosal lesions that can result in bleeding in patients with liver disease. Ectasia vascular antral gastrica refractaria con extension al. It has been associated with systemic sclerosis but the pathophysiological changes leading to gave have not been explained and still remain uncertain. Treatment of gastric antral vascular ectasia watermelon. Backgroundportal hypertensive gastropathy and gastric antral vascular ectasia gave are increasingly recognised as separate entities. Figure 3 gastric biopsy showing prominent vascular congestion with thrombosis of the vasculature. Gastric antral vascular ectasia radiology reference article.
Endoscopic radiofrequency ablation for apc refractory gastric antral. Gave is diagnosed through esophagogastroduodenoscopy and is characterized by the presence of visible columns of red tortuous enlarged vessels along the longitudinal folds of the antrum i. Gastric antral vascular ectasia gave is an erratic cause of chronic upper gastrointestinal bleeding. Gastric antral vascular ectasia gave is a rare entity with unique endoscopic appearance described as watermelon stomach. Diagnosis and management of gastric antral vascular ectasia. Feb 01, 2008 this endoscopic video clip is performed by dr. Figure 2 videocapsule image of gastric antral vascular ectasia. Gave gastric antral vascular ectasia is a particular form of gastropathy associated with chronic gi bleeding and iron deficiency anemia.
Gastric antral vascular ectasia definition of gastric. In most cases, the diagnosis can be made during endoscopic evaluation, although for a few cases, histology may be necessary to confirm the diagnosis. Hemorrhage from extraantral gastric antral vascular ectasia in a patient with duodenal heterotopic gastric mucosa the harvard community has made this article openly available. 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. Watermelon stomach from the endoscopic appearance diagnostic criteria. The management of portal hypertensive gastropathy and gastric antral vascular ectasia. 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. Portal hypertensive gastropathy phg causes both acute and chronic blood loss from the gastrointestinal tract in patients with portal hypertension.
Definition of gastric antral vascular ectasia in the dictionary. Gastric antral vascular ectasia gave is a capillarytype vascular malformation of the gastric antrum and an infrequent cause of chronic gastrointestinal blood loss. Gastric antral vascular ectasia syndrome is a rare entity. 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.
Introduction gastric antral vascular ectasia gave is a relatively rare cause of gastrointestinal gi bleeding that mainly affects women aged 70 years and older. Bleeding from gastric antral vascular ectasia in marrow transplant patients. Gastric antral vascular ectasia gave is a rare but import ant cause of gastrointestinal bleeding and anemia. The condition is associated with dilated small blood vessels in the pyloric antrum, which is a distal part of the stomach. It consists of dilated small blood vessels in the antrum, which can present at endoscopy as watermelon stomach parallel longitudinal stripes converging to the pilorus or as diffuse ectasia of vessels.
Since then, a better but still incomplete knowledge of this. Watermelon stomach or gastric antral vascular ectasia gave. Gastric antral vascular ectasia endoscopy international open 2014. Answered by a verified doctor we use cookies to give you the best possible experience on our website. Gastric antral vascular ectasia is an infrequent cause. 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. Watermelon stomach or gastric antral vascular ectasia. Know the causes, symptoms, treatment and diagnosis of watermelon stomach or gastric antral vascular ectasia gave. Gastric antral vascular ectasia prime health channel. Radiofrequency ablation for gastric antral vascular ectasia. Ensure that patients understand the uncertainty about the procedures safety and. 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.
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. Classic noncirrhotic patient is middleaged female with autoimmune disease or atrophic gastritis. Your story matters citation gubatan, john, nathan raines, hasan khosravi, tracy l. 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. These conditions frequently, but not invariably, are diagnosed by upper. Scar tissue forms because of injury or longterm disease. Gastric antral vascular ectasias gave 6 of 6 video. The diagnosis is mainly based on endoscopic pattern and, for uncertain cases, on histology.
Databases medline, scopus, embase, pubmed, and cochrane were searched for relevant papers. Gastric antral vascular ectasia symptoms, treatments. Figure 1 endoscopic appearance of gastric antral vascular ectasia. Information and translations of gastric antral vascular ectasia in the most comprehensive dictionary definitions resource on the web. 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. The pathogenic role of portal hypertension for the development of gave is still controversial. Gastric antral vascular ectasia is a rare and severe cause of upper gastrointestinal bleeding, responsible for about 4% of nonvariceal upper gastrointestinal haemorrhage.
Pathology outlines gastric antral vascular ectasia gave. Gastric antral vascular ectasia gave syndrome, also known as watermelon stomach is a significant cause of acute or chronic gastrointestinal blood loss in the. 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. It is also called watermelon stomach because streaky long red areas that are present in the. 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. Gastric antral vascular ectasia gave is commonly found in patients with cirrhosis, but it is also associated with other diseases in the. The stomach lining exhibits the characteristic stripes of a watermelon when viewed by endoscopy. Ideal sources for wikipedia s health content are defined in the guideline wikipedia. 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. Here are links to possibly useful sources of information about gastric antral vascular ectasia. Joseph galati, liver specialists of texas, based in houston, texas. We use cookies to give you the best possible experience on our website.
Printable gastric antral vascular ectasia surgical. Wheelar was the first person to diagnose this condition in 1979. Gastric antral vascular ectasia watermelon stomachan. Portal hypertensive gastropathy and gastric antral vascular. Inform the clinical governance leads in their nhs trusts. Hemorrhage from extraantral gastric antral vascular. 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. This condition can be associated with some other diseases such as cirrhosis, autoimmune diseases and others. Gastric antral vascular ectasia surgical pathology. The role of transarterial intrahepatic portosystemic shunt or bypass surgery has been insufficiently analyzed. Treatment of gastric antral vascular ectasia watermelon stomach with endoscopic band ligation christopher d. The sections show antral type gastric mucosa with dilated lamina propria blood vessels and intravascular fibrin thrombi. 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.
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