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Watermelon Stomach (GAVE, Gastric Antral Vascular Ectasia) : Causes, Symptoms, & Treatment

Tiger Stripe Stomach, Watermelon Stomach, GAVE, Gastric Antral Vascular Ectasia : Definition, Etiology, Pathology, Signs, Symptoms, Diagnosis, & Management

Definition

  • Gastric antral vascular ectasia is a rare endoscopically confirmed degenerative condition which shows segmented dilated vessel meshes in the antral mucosa.
  • Antrum involved.
  • Dilatation of vessel: Longitudinally running tortuous dilated vessel in antrum.
  • Degenerative condition.
  • Common in old age.
  • Incidence: Female > Male.
  • It is often associated with achlorhydria and hypergastrinemia.
  • Common in chronic liver disease, chronic renal disease, collagen vascular disease or autoimmune connective tissue disorders.

Pathology

  • Pathologically, it shows mucosal fibromuscular hyperplasia & hyalinisation.

Clinical Features

  • Hemetemesis
  • Malaena
  • Anemia

Investigations

  • Endoscopy

Treatment

A. Conservative

  • Argon plasma laser

B. Antrectomy

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