Gastric antral vascular ectasia: case report and review of the literature

Clin Med Res. 2013 Jun;11(2):80-5. doi: 10.3121/cmr.2012.1036. Epub 2012 Dec 21.

Abstract

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.

Keywords: Endoscopy; GAVE; Gastric antral vascular ectasia; Gastrointestinal bleeding.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Argon Plasma Coagulation
  • Blood Transfusion
  • Disease Management*
  • Endoscopy, Gastrointestinal*
  • Female
  • Gastric Antral Vascular Ectasia / diagnosis*
  • Gastric Antral Vascular Ectasia / pathology*
  • Gastric Antral Vascular Ectasia / therapy
  • Humans
  • Male
  • Middle Aged
  • Recurrence
  • Treatment Outcome