Watermelon stomach: clinical aspects and treatment with argon plasma coagulation

Chaves, Dalton Marques; Sakai, Paulo; Oliveira, Cláudio V.; Cheng, Spencer; Ishioka, Shinichi

doi:10.1590/s0004-28032006000300007

Cited by 39 publications

(35 citation statements)

References 22 publications

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“…Cirrhosis is commonly associated with a diffuse appearance of GAVE, involving the whole antrum without interruption; whereas non-cirrhotic patients are more likely to have a typical striped "watermelon" appearance. 11,12 Our two patients fit these respective endoscopic patterns. Epidemiological differences have been noted in these two groups, and characteristics of the two patterns are listed in table 1.…”

Section: Discussionsupporting

confidence: 63%

Gastric Antral Vascular Ectasia: Case Report and Review of the Literature

Kar

Mitra

Resnick

et al. 2012

Clinical Medicine & Research

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Gast ric antral vascular ectasia (GAVE) is a rare cause of upper gastrointestinal (GI) bleeding, accounting for 4% of nonvariceal upper GI bleeding and associated with occult bleeding that manifests as iron deficiency anemia. 1 In recent years, it has emerged as a distinctive, well-defined entity within the spectrum of acquired vasculopathies of the stomach.We report two cases of GAVE presenting with two different endoscopy findings. We discuss the etiology, endoscopic features, histology, pathogenesis, and management options of this rare entity, and present a review of the pertinent literature. Case 1A man, age 57 years, presented with a one-week history of hematemesis. He described three episodes of coffee ground emesis, about a half-cupful on each occasion. The most recent episode occurred on the day of admission. His past medical history was significant for alcoholic cirrhosis with portal hypertension. He had an episode of hematochezia in the past that was diagnosed as a diverticular bleed on colonoscopy. His social history was significant for alcohol abuse, but he had quit drinking about 10 years prior.His vital signs showed a temperature of 98.9 o F, pulse 102 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 120/79 mm Hg. Physical examination revealed a pale, jaundiced, malnourished male with ascites, pedal edema, and bilateral basal crackles. Initial laboratory studies were significant for hemoglobin of 8.8 gm/dL (reference range 12.9-17.3 g/dL). Serum liver tests Gastric antral vascular ectasia is the source of up to 4% of nonvariceal upper gastrointestinal bleeding. It can present with occult bleeding requiring transfusions or with acute gastrointestinal bleeding. It is associated with significant morbidity and mortality and has been associated with such underlying chronic diseases as scleroderma, diabetes mellitus, and hypertension. Approximately 30% of cases are associated with cirrhosis. We report two cases of gastric antral vascular ectasia with two strikingly different endoscopic appearances. We further describe the clinical, endoscopic, histologic, and therapeutic aspects of this entity.

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Section: Discussionsupporting

confidence: 63%

Gastric Antral Vascular Ectasia: Case Report and Review of the Literature

Kar

Mitra

Resnick

et al. 2012

Clinical Medicine & Research

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“…As an important diagnostic method, the experience of our patient 2 told us that repeated endoscopy is necessary when facing unexplained chronic blood loss patient. Here we summarized typical endoscopic performance of GAVE into two distinctive patterns: The majority of patients including our two cases have antral disease with classic ectatic vascular tissue radiating out from the pylorus that described by Jabbari et al as WS; another type has scattered red patchy or punctuate lesions distributed diffusely throughout the proximal and distal stomach and its predilection sites also located in the antrum [11]. GAVE patients with cirrhotic syndrome tend to have diffuse le-sions under endoscopy and most of them are males (75%) with mean age of 65 years old.…”

Section: Patientmentioning

confidence: 90%

Case report of gastric antral vascular ectasia (GAVE)

Liu¹,

Ji²,

Jin³

et al. 2013

OJIM

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Gastric antral vascular ectasia (GAVE) is a rare clinical disease which can cause recurrent upper gastrointestinal (GI) tract bleeding. It is responsible for about 4% of non-variceal upper GI haemorrhages. As one of the vascular diseases that happened in stomach, GAVE was also named as watermelon stomach (WS) for its characteristic endoscopic performance. Compared with portal hypertensive gastropathy (PHG) which with similar performances under endoscopy but often appeared as the result of portal hypertension, the etiology of GAVE is unknown. Recent years with further research it received several presumptions according to its histopathological features. Here we will introduce the disease systematically through two cases.

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“…2 A maioria dos casos é idiopática, porém é frequentemente associada a outras condições clínicas, incluindo cirrose, esclerose sistêmica, e doença cardiovascular. 4 A base terapêutica da GAVE é a ablação endoscópica estudos tem avaliado a utilização das técnicas termoablativas. 4 Normalmente, várias sessões são necessárias para alcançar o controle do sangramento agudo e para corrigir a anemia Uma das terapias endoscópicas é o laser de coagulação Nd:…”

Section: Discussionunclassified

Efeito da talidomida em paciente com hemorragia secundária a ectasia vascular de antro gástrico dependente crônico de transfusões<br> doi: 10.20513/2447-6595.2016v56n1p64-67

et al. 2016

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RESUMOgástrico (GAVE). No presente trabalho, relatamos o caso de uma paciente de 52 anos, com cirrose hepática e ectasia vascular do antro gástrico, que apresentou seis episódios de hemorragia digestiva alta com necessidade de transfusão sanguínea, apesar da terapia endoscópica estabelecida. Iniciamos talidomida na dose de 100 mg/dia que em seguida foi reduzida para 50 mg/dia. transfusões sanguíneas. Apesar da interrupção da terapêutica endoscópica, persistiu assintomática e a endoscopia de controle após 3 meses não visualizava mais sangramento ativo nas lesões do antro. Portanto, este trabalho tem como objetivo descrever que a Palavras-chave: Talidomida. Sangramento. Ectasia vascular do antro gástrico. Coagulação com plasma de argônio. ABSTRACT

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Watermelon stomach: clinical aspects and treatment with argon plasma coagulation

Cited by 39 publications

References 22 publications

Gastric Antral Vascular Ectasia: Case Report and Review of the Literature

Gastric Antral Vascular Ectasia: Case Report and Review of the Literature

Case report of gastric antral vascular ectasia (GAVE)

Efeito da talidomida em paciente com hemorragia secundária a ectasia vascular de antro gástrico dependente crônico de transfusões<br> doi: 10.20513/2447-6595.2016v56n1p64-67

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