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gastric antral vascular ectasia
Etiology:
- 60% have underlying autoimmune disease
- associated with systemic sclerosis [2]
- 40% have portal hypertension due to hepatic cirrhosis
Epidemiology:
- an uncommon form of gastritis
Pathology::
1) proliferation of blood vessels in the antrum of the stomach
2) fibrin thrombi
3) fibromuscular hyperplasia
Clinical manifestations:
- gastrointestinal bleeding (acute or chronic)
Special laboratory:
- upper gastrointestinal endoscopy
- dilated gastric antral vasculature
- appearance of watermellon stripes (watermellon stomach)
Management:
- argon plasma coagulation or laser coagulation
General
gastritis
References
- Saunders Manual of Medical Practice, Rakel (ed), WB Saunders,
Philadelphia, 1996, pg 327
- Medical Knowledge Self Assessment Program (MKSAP) 18,
American College of Physicians, Philadelphia 2018
- Fuccio L, Mussetto A, Laterza L, Eusebi LH, Bazzoli F.
Diagnosis and management of gastric antral vascular ectasia.
World J Gastrointest Endosc. 2013 Jan 16;5(1):6-13.
PMID: 23330048 Free PMC Article