A Rare Cause of Upper Gastrointestinal System Haemorrhage: Gastric Antral Vascular Ectasia
Anil Ergin1, Ahmet Cakmak1, Ahmet Basak1, Huseyin Ciyiltepe1, Aziz Bora Karip1, Kemal Memisoglu11Department of General Surgery, Istanbul Fatih Sultan Mehmet Education nad Research Hospital, Health Sciences University, Istanbul, Turkey
Gastric antral vascular ectasia (GAVE) is a rare cause of upper gastrointestinal bleeding and is also difficult to diagnose. This typical endoscopic view was described as watermelon stomach by Jabbari. In the pathogenesis of the disease; mechanical stress, humoral and autoimmune factors and autoantibodies caused by hemodynamic changes are thought to cross-react with specific proteins found in the vessels of the gastric mucosa and submucosa. When the patient, who was hospitalized with the diagnosis of gastrointestinal system hemorrhage, showed findings compatible with GAVE syndrome in the upper gastrointestinal system endoscopy, the patients were treated with argon plasma coagulation twice, but an operation was planned after bleeding did not stop. Laparoscopic antrectomy and gastroenterostomy were performed. Surgical intervention due to comorbidities of the patient has high morbidity and mortality in this patient group. However, in cases where endoscopic treatment methods do not respond, surgical intervention option should be considered. Keywords: Endoscopy, gave syndrome, watermelon stomach
Cite This Article
Ergin A, Cakmak A, Basak A, Ciyiltepe H, Karip A, Memisoglu K. A Rare Cause of Upper Gastrointestinal System Haemorrhage: Gastric Antral Vascular Ectasia. EJMI. 2019; 3(3): 238-240
Corresponding Author: Anil Ergin