Gastric antral vascular ectasia: the watermelon stomach
We report 3 patients with severe and persistent iron deficiency anemia who were found to have gastric antral vascular ectasia. Endoscopically, the patients presented with a characteristic antral appearance so distinctive as to be diagnostic: longitudinal rugal folds traversing the antrum and converg...
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| Veröffentlicht in: | Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 1984-11, Vol.87 (5), p.1165-1170 |
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| container_title | Gastroenterology (New York, N.Y. 1943) |
| container_volume | 87 |
| creator | MANSOUR JABBARI RAELEEN CHERRY LOUGH, J. O DALY, D. S KINNEAR, D. G GORESKY, C. A |
| description | We report 3 patients with severe and persistent iron deficiency anemia who were found to have gastric antral vascular ectasia. Endoscopically, the patients presented with a characteristic antral appearance so distinctive as to be diagnostic: longitudinal rugal folds traversing the antrum and converging on the pylorus, each containing a visible convoluted column of vessels, the aggregate resembling the stripes on a watermelon; and, less prominently, evidence of mucosal prolapse. In 2 of these patients, with uncontrollable anemia, antrectomy and Billroth I anastomosis were performed; their hemoglobin levels have subsequently remained normal over the following 2 yr. In the third patient, who was achlorhydric, prednisone therapy substantially reduced the rate of bleeding. In all patients, endoscopic biopsy specimens showed dilatation of mucosal capillaries, with focal thrombosis and fibromuscular hyperplasia of the lamina propria; the resected specimens, additionally, show thickened mucosa with tortuous submucosal venous channels. The importance of the condition lies in its recognition. |
| doi_str_mv | 10.1016/S0016-5085(84)80080-3 |
| format | Article |
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In all patients, endoscopic biopsy specimens showed dilatation of mucosal capillaries, with focal thrombosis and fibromuscular hyperplasia of the lamina propria; the resected specimens, additionally, show thickened mucosa with tortuous submucosal venous channels. The importance of the condition lies in its recognition.</description><identifier>ISSN: 0016-5085</identifier><identifier>EISSN: 1528-0012</identifier><identifier>DOI: 10.1016/S0016-5085(84)80080-3</identifier><identifier>PMID: 6332757</identifier><identifier>CODEN: GASTAB</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Adult ; Aged ; Anemia, Hypochromic - etiology ; Biological and medical sciences ; Capillaries - pathology ; Dilatation, Pathologic ; Female ; Gastric Mucosa - blood supply ; Gastric Mucosa - pathology ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - pathology ; Gastroscopy ; Humans ; Hyperplasia ; Hypertrophy ; Medical sciences ; Muscle, Smooth, Vascular - pathology ; Pyloric Antrum - blood supply ; Pyloric Antrum - pathology ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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In the third patient, who was achlorhydric, prednisone therapy substantially reduced the rate of bleeding. In all patients, endoscopic biopsy specimens showed dilatation of mucosal capillaries, with focal thrombosis and fibromuscular hyperplasia of the lamina propria; the resected specimens, additionally, show thickened mucosa with tortuous submucosal venous channels. The importance of the condition lies in its recognition.</description><subject>Adult</subject><subject>Aged</subject><subject>Anemia, Hypochromic - etiology</subject><subject>Biological and medical sciences</subject><subject>Capillaries - pathology</subject><subject>Dilatation, Pathologic</subject><subject>Female</subject><subject>Gastric Mucosa - blood supply</subject><subject>Gastric Mucosa - pathology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - pathology</subject><subject>Gastroscopy</subject><subject>Humans</subject><subject>Hyperplasia</subject><subject>Hypertrophy</subject><subject>Medical sciences</subject><subject>Muscle, Smooth, Vascular - pathology</subject><subject>Pyloric Antrum - blood supply</subject><subject>Pyloric Antrum - pathology</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Abdomen</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - pathology</topic><topic>Gastroscopy</topic><topic>Humans</topic><topic>Hyperplasia</topic><topic>Hypertrophy</topic><topic>Medical sciences</topic><topic>Muscle, Smooth, Vascular - pathology</topic><topic>Pyloric Antrum - blood supply</topic><topic>Pyloric Antrum - pathology</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Thrombosis - complications</topic><topic>Thrombosis - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MANSOUR JABBARI</creatorcontrib><creatorcontrib>RAELEEN CHERRY</creatorcontrib><creatorcontrib>LOUGH, J. O</creatorcontrib><creatorcontrib>DALY, D. S</creatorcontrib><creatorcontrib>KINNEAR, D. G</creatorcontrib><creatorcontrib>GORESKY, C. 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A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gastric antral vascular ectasia: the watermelon stomach</atitle><jtitle>Gastroenterology (New York, N.Y. 1943)</jtitle><addtitle>Gastroenterology</addtitle><date>1984-11</date><risdate>1984</risdate><volume>87</volume><issue>5</issue><spage>1165</spage><epage>1170</epage><pages>1165-1170</pages><issn>0016-5085</issn><eissn>1528-0012</eissn><coden>GASTAB</coden><abstract>We report 3 patients with severe and persistent iron deficiency anemia who were found to have gastric antral vascular ectasia. Endoscopically, the patients presented with a characteristic antral appearance so distinctive as to be diagnostic: longitudinal rugal folds traversing the antrum and converging on the pylorus, each containing a visible convoluted column of vessels, the aggregate resembling the stripes on a watermelon; and, less prominently, evidence of mucosal prolapse. In 2 of these patients, with uncontrollable anemia, antrectomy and Billroth I anastomosis were performed; their hemoglobin levels have subsequently remained normal over the following 2 yr. In the third patient, who was achlorhydric, prednisone therapy substantially reduced the rate of bleeding. In all patients, endoscopic biopsy specimens showed dilatation of mucosal capillaries, with focal thrombosis and fibromuscular hyperplasia of the lamina propria; the resected specimens, additionally, show thickened mucosa with tortuous submucosal venous channels. The importance of the condition lies in its recognition.</abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>6332757</pmid><doi>10.1016/S0016-5085(84)80080-3</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Alma/SFX Local Collection |
| subjects | Adult Aged Anemia, Hypochromic - etiology Biological and medical sciences Capillaries - pathology Dilatation, Pathologic Female Gastric Mucosa - blood supply Gastric Mucosa - pathology Gastroenterology. Liver. Pancreas. Abdomen Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - pathology Gastroscopy Humans Hyperplasia Hypertrophy Medical sciences Muscle, Smooth, Vascular - pathology Pyloric Antrum - blood supply Pyloric Antrum - pathology Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Thrombosis - complications Thrombosis - pathology |
| title | Gastric antral vascular ectasia: the watermelon stomach |
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