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Japanese

Gastric Antral Vascular Ectasia Cured by Heat Coagulation Therapy, Report of a Case Nobuhisa Ishikawa 1 , Hiroyuki Kobayashi 1 , Akiyo Shirouzu 1 , Takasuke Yoshida 1 , Shotaro Nakamura 2 1Department of Internal Medicine, Kitakyushu Municipul Wakamatsu Hospital 2The Second Department of Patholoy, Faculty of Medicine, Kyushu University Keyword: gastric antral vascular ectasia , GAVE , watermelon stomach pp.803-807
Published Date 1996/5/25
DOI https://doi.org/10.11477/mf.1403104160
  • Abstract
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 A 12-year-old man was admitted to the Wakamatsu municipal hospital, complaining of palpitation and dyspnea on effort for the previous two weeks. Laboratory data showed severe iron deficiency anemia. Upper gastrointestinal endoscopy just after admission showed longitudinal stripes, resembling the stripes of a watermelon, consisting of many red spots from the prepylorus to the proximal antrum. Hypermobility and spontaneous hemorrhage of the gastric antrum could be observed during endoscopy. Histological findings of the biopsy specimen revealed fibromuscular hyperplasia, microvascular ectasia and fibrin thrombi in the lamina propria. Other investigations, including barium follow through and colonoscopy could not detect any other source of gastrointestinal bleeding. In consideration of these findings, we diagnosed this case as gastrointestinal bleeding due to gastric antral vascular ectasia. We treated him by heat coagulation therapy. After the treatment, antral mucosa appeared to be normal endoscopically. In addition, his hemoglobin has subsequently normalized by iron replacement therapy.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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