Gastric antral vascular ectasia: Difference between revisions

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   MeshNumber    = C06.405.748.280 |
   MeshNumber    = C06.405.748.280 |
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{{SI}}
{{Gastric antral vascular ectasia}}
 
{{CMG}}
{{CMG}}


{{SK}} Watermelon stomach; GAVE
{{SK}} Watermelon stomach; GAVE


==Overview==
==[[Gastric antral vascular ectasia overview|Overview]]==
Gastric antral vascular ectasia is an uncommon cause of chronic [[gastrointestinal bleeding]] or [[iron deficiency anemia]].  The condition is associated with dilated small blood vessels in the [[antrum]], or the last part of the [[stomach]]. It is also called watermelon stomach because streaky long red areas that are present in the stomach may resemble the markings on [[watermelon]]<ref>{{cite journal | author = Suit P, Petras R, Bauer T, Petrini J | title = Gastric antral vascular ectasia. A histologic and morphometric study of "the watermelon stomach". | journal = Am J Surg Pathol | volume = 11 | issue = 10 | pages = 750-7 | year = 1987 | id = PMID 3499091}}</ref>.
 
==[[Gastric antral vascular ectasia historical perspective|Historical Perspective]]==
 
==[[Gastric antral vascular ectasia pathophysiology|Pathophysiology]]==
 
==[[Gastric antral vascular ectasia causes|Causes]]==
 
==[[Gastric antral vascular ectasia differential diagnosis|Differentiating Gastric antral vascular ectasia from other Diseases]]==
 
==[[Gastric antral vascular ectasia epidemiology and demographics|Epidemiology and Demographics]]==


==Asociated Conditions==
==[[Gastric antral vascular ectasia natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
GAVE is associated with a number of conditions, including
* [[Portal hypertension]]
* [[Chronic renal failure]]
* [[Collagen vascular disease]]s, particularly [[scleroderma]]


==Diagnosis==
==Diagnosis==
===Endoscopy===
 
The endoscopic appearance of GAVE is similar to [[portal hypertensive gastropathy]].
[[Gastric antral vascular ectasia history and symptoms|History and Symptoms ]] | [[ Gastric antral vascular ectasia physical examination|Physical Examination]] | [[Gastric antral vascular ectasia laboratory findings|Laboratory Findings]] | [[Gastric antral vascular ectasia ultrasound|Ultrasound]] | [[Gastric antral vascular ectasia endoscopy|Endoscopy]] | [[Gastric antral vascular ectasia other imaging findings|Other Imaging Findings]] | [[Gastric antral vascular ectasia other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
GAVE is treated with treatment through the endoscope, including [[argon plasma coagulation]] and electrocautery.  Other medical treatments have been tried and include [[estrogen]] and [[progesterone]] therapy and anti-fibrinolytic drugs such as [[tranexamic acid]].
[[Gastric antral vascular ectasia medical therapy|Medical Therapy]] | [[Gastric antral vascular ectasia surgery |Surgery]] | [[Gastric antral vascular ectasia primary prevention|Primary Prevention]] | [[Gastric antral vascular ectasia secondary prevention|Secondary Prevention]] | [[Gastric antral vascular ectasia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] |  [[Gastric antral vascular ectasia future or investigational therapies|Future or Investigational Therapies]]
 
==Case Studies==


==References==
[[Gastric antral vascular ectasia case study one|Case #1]]
{{Reflist|2}}


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Latest revision as of 16:41, 5 September 2012

Gastric antral vascular ectasia
Endoscopic image of gastric antral vascular ectasia seen as a radial pattern around the pylorus before (top) and after (bottom) treatment with argon plasma coagulation
DiseasesDB 29505
MeSH C06.405.748.280

Gastric antral vascular ectasia Microchapters

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Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Gastric antral vascular ectasia from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Endoscopy

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: Watermelon stomach; GAVE

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Gastric antral vascular ectasia from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Ultrasound | Endoscopy | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1


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