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Successful treatment of refractory gastric antral vascular ectasia by distal gastrectomy: a case report.

Authors
  • Jin, Ting
  • Fei, Bao-Ying
  • Zheng, Wei-Hua
  • Wang, Yong-Xiang
Type
Published Article
Journal
World Journal of Gastroenterology
Publisher
Baishideng Publishing Group Co
Publication Date
Oct 14, 2014
Volume
20
Issue
38
Pages
14073–14075
Identifiers
DOI: 10.3748/wjg.v20.i38.14073
PMID: 25320549
Source
Medline
Keywords
License
Unknown

Abstract

Gastric antral vascular ectasia (GAVE) is an uncommon and often neglected cause of gastric hemorrhage. The treatments for GAVE include surgery, endoscopy and medical therapies. Here, we report an unusual case of GAVE. A 72-year-old man with a three-month history of recurrent melena was diagnosed with GAVE. Endoscopy revealed the classical "watermelon stomach" appearance of GAVE and complete pyloric involvement. Melena reoccurred three days after argon plasma coagulation treatment, and the level of hemoglobin dropped to 47 g/L. The patient was then successfully treated with distal gastrectomy with Billroth II anastomosis. We propose that surgery should be considered as an effective option for GAVE patients with extensive and severe lesions upon deterioration of general conditions and hemodynamic instability.

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