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.
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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Wang J, Stine J, Cornella S, Argo C, Cohn S (2015) Patients with gastric antral vascular ectasia (GAVE) are at a higher risk of gastrointestinal bleeding in the absence of cirrhosis.
Gastric antral vascular ectasia (GAVE or watermelon stomach) is a rare cause of UGI bleeding.
Gastric antral vascular ectasia is a vascular gastropathy that may cause severe iron-deficiency anemia secondary to chronic antral hemorrhage.
Gastric antral vascular ectasia may be diagnosed incidentally at the time of endoscopy, or occasionally, the patient may present with anemia secondary to chronic blood loss.
An association between connective tissue diseases, particularly systemic sclerosis, and gastric antral vascular ectasia has been noted.
Therapies for the treatment of gastric antral vascular ectasia are directed at reducing or eliminating the hemorrhage of the ectatic antral vessels.
Gastric antral vascular ectasia in cirrhotic patients: absence of relation with portal hypertension.
Gastric antral vascular ectasia (watermelon stomach) in patients with systemic sclerosis.