Watermelon Stomach

Novitsky, Yuri W.; Kercher, Kent W.; Czerniach, Donald R.; Litwin, Demetrius E. M.

doi:10.1016/s1091-255x(02)00435-3

Cited by 88 publications

(107 citation statements)

References 57 publications

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“…Fibromuscular proliferation and capillary ectasia with microvascular thrombosis of the lamina propria form the histological hallmark of GAVE; the theory of mechanical stress is therefore strengthened by the histological findings in GAVE. 10,[16][17][18] Due to the increasing use of endoscopy and increased awareness of the condition, GAVE is now more frequently …”

Section: 11mentioning

confidence: 99%

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: 11mentioning

confidence: 99%

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

Kar

Mitra

Resnick

et al. 2012

Clinical Medicine & Research

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“…GAVE is different from ordinary antral gastritis by its location on the antral folds and sharply demarcated lesion that blanches on pressure 3 . GAVE is a rare cause of chronic iron deficiency anaemia due to slow and intermittent gastrointestinal bleeding, brought about by the erosion of submucosal ectatic vessels through the gastric mucosa 4 .…”

Section: Introductionmentioning

confidence: 89%

“…rare disorder, GAVE is responsible for roughly 4% of non-variceal upper gastrointestinal bleeding 6 . Profuse gastric hemorrhage is rare with this disorder but may occur as a result of superimposed bleeding diathesis which is present in the majority of patients reporting melena, and is determined by the concomitant presence of conditions such as biliary cirrhosis, valvular heart disease, congestive heart failure, nonsteroidal anti-inflammatory use, CREST syndrome and systemic sclerosis, and chronic renal insufficiency, which can occur in association with watermelon stomach 3 . Most cases of GAVE are idiopathic and occur more commonly in older women (with a 9:1 female-to-male ratio).…”

Section: Rev Port Pneumol 2010; XVI (4): 659-670mentioning

confidence: 99%

Watermelon stomach, hemorrhagic pericarditis, small cell carcinoma of the lung and synchronous squamous cell carcinoma of the tongue base

Murinello

Damásio

Figueiredo³

et al. 2010

Revista Portuguesa de Pneumologia (English Edition)

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ResumoBaseados num caso de gastropatia antral com ectasia vascular (estômago em melancia) associado a pericardite hemorrágica e a um carcinoma de pequenas células do pulmão com metástases ganglionares ao longo do mediastino e a um carcinoma pavimentocelular sín-crono da base da língua, os autores fazem uma revisão dos aspectos clínicos, endoscópicos e histopatológicos deste tipo de gastropatia, da sua associação a outras doenças e das possibilidades terapêuticas actuais por via endoscópica. Referem-se igualmente as causas mais frequentes de pericardite hemorrágica, salientando-se a AbstractBased on a case of gastric antral vascular ectasia (watermelon stomach) that was associated with hemorrhagic pericarditis, small cell lung carcinoma with mediastinal lymph node metastases and a synchronous squamous cell carcinoma of the base of the tongue, the authors made a review of the clinical, endoscopic and histopathological aspects of this type of gastropathy, and its association with other diseases, and of the results of its endoscopic therapy. The causes of hemorrhagic pericarditis are considered, emphasizing the necessity to know if the effusion has Estômago em melancia, pericardite hemorrágica, tumor de pequenas células do pulmão e carcinoma pavimentocelular síncrono da base da língua Watermelon stomach, hemorrhagic pericarditis, small cell carcinoma of the lung and synchronous squamous cell carcinoma of the tongue base

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“…Surgical approaches include gastrectomy and antrectomy, which may be the only reliable approach to achieving a cure. Antrectomy is more commonly used and has clinical eicacy in eliminating bleeding and transfusion dependency, as patients do not report postoperative recurrence of bleeding was associated with multiorgan failure [64]. Portacaval shunts and TIPS have no role in the management of GAVE [11].…”

Section: Surgical Interventionmentioning

confidence: 99%

Gastric Antral Vascular Ectasia and Portal Hypertensive Gastropathy

Ramai¹,

Linn²,

Reddy³

2018

Stomach Disorders

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Gastric antral vascular ectasia (GAVE) and portal hypertensive gastropathy (PHG) are mucosal lesions that can cause chronic gastrointestinal bleeding in the patients with cirrhosis. While PHG occurs exclusively in patients with liver cirrhosis, GAVE can also present in patients with systemic and autoimmune conditions. The need to accurately characterize these two conditions is dependent on clinical, endoscopic, and histological parameters. The management of GAVE utilizes endoscopic ablation techniques, while medical therapy is directed toward stabilizing portal pressure in patients with PHG. Herein, we review the epidemiology, diagnosis, pathophysiology, and medical, endoscopic, and surgical management of GAVE and PHG.

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Watermelon Stomach

Cited by 88 publications

References 57 publications

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

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

Watermelon stomach, hemorrhagic pericarditis, small cell carcinoma of the lung and synchronous squamous cell carcinoma of the tongue base

Gastric Antral Vascular Ectasia and Portal Hypertensive Gastropathy

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