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Gastric antral vascular ectasia: the watermelon stomach.
Gastroenterology. 1984 Nov; 87(5):1165-70.G

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.

Authors

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Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

6332757

Citation

Jabbari, M, et al. "Gastric Antral Vascular Ectasia: the Watermelon Stomach." Gastroenterology, vol. 87, no. 5, 1984, pp. 1165-70.
Jabbari M, Cherry R, Lough JO, et al. Gastric antral vascular ectasia: the watermelon stomach. Gastroenterology. 1984;87(5):1165-70.
Jabbari, M., Cherry, R., Lough, J. O., Daly, D. S., Kinnear, D. G., & Goresky, C. A. (1984). Gastric antral vascular ectasia: the watermelon stomach. Gastroenterology, 87(5), 1165-70.
Jabbari M, et al. Gastric Antral Vascular Ectasia: the Watermelon Stomach. Gastroenterology. 1984;87(5):1165-70. PubMed PMID: 6332757.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastric antral vascular ectasia: the watermelon stomach. AU - Jabbari,M, AU - Cherry,R, AU - Lough,J O, AU - Daly,D S, AU - Kinnear,D G, AU - Goresky,C A, PY - 1984/11/1/pubmed PY - 1984/11/1/medline PY - 1984/11/1/entrez SP - 1165 EP - 70 JF - Gastroenterology JO - Gastroenterology VL - 87 IS - 5 N2 - 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. SN - 0016-5085 UR - https://www.unboundmedicine.com/medline/citation/6332757/Gastric_antral_vascular_ectasia:_the_watermelon_stomach_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S001650858400278X DB - PRIME DP - Unbound Medicine ER -