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Gastric Antral Vascular Ectasia

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gastric antral vascular ectasia,
a rare vascular anomaly of the gastric antrum consisting of dilated and thrombosed capillaries and veins that form lines in the antrum that radiate toward the pylorus, resembling the stripes on a watermelon, seen most often in elderly women or patients with chronic liver disease. It may result in chronic blood loss and anemia. Also called watermelon stomach.
Watermelon Stomach
A pattern of tortuous vessels located along the longitudinal folds of the stomach, radiating from the pylorus toward the antrum. The endoscopic appearance has been likened to that of watermelon stripes, and is typical of angiodysplasia of the gastric antrum
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Some GIT causes of asymptomatic iron deficiency anaemia and prevalence as percentage of total Occult GI blood loss Common Aspirin/NSAID use 10-15% Colonic carcinoma 5-10% Gastric carcinoma 5% Benign gastric ulceration 5% Angiodysplasia 5% Uncommon Oesophagitis 2-4% Oesophageal carcinoma 1-2% Gastric antral vascular ectasia 1-2% Small-bowel tumours 1-2% Ampullary carcinoma <1% Ancylomasta duodenale <1% Malabsorbtion Common Coeliac disease 4-6% Gastrectomy <5% H.
Iron deficiency is one of the commonest causes of anaemia in adults by Barrow, Peter H. / CME: Your SA Journal of CPD
Pathologic Diagnosis: Gastric Antral Vascular Ectasia Gastric antral vascular ectasia is a vascular gastropathy that may cause severe iron-deficiency anemia secondary to chronic antral hemorrhage.
Pathologic quiz case: patient with systemic sclerosis and anemia. ... by Brumit, Marla; Carter, Elliott / Archives of Pathology & Laboratory Medicine
 
 
 
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