Endoscopic laser therapy in a case of gastric antral vascular ectasia (watermelon stomach).
Z Gastroenterol. 1993 May; 31(5):322-4.ZG

Abstract

We report the case history of a 75-year-old female patient suffering from extensive gastric antral vascular ectasia (watermelon stomach) with portal hypertension in alcoholic liver cirrhosis. Iron deficiency anaemia, due to chronic blood loss from the antral lesions, required repeated transfusions. Conservative treatment failed, but a surgical intervention (antrectomy) was discarded in view of concomitant diseases. Endoscopic laser photocoagulation therapy with a Nd:YAG-laser eradicated the characteristic antral lesions, which was accompanied by a significant reduction of transfusion requirements. No relapse has been observed since then. Endoscopic laser photocoagulation appears to be an efficacious and safe alternative in the treatment of gastric antral vascular ectasia.

Authors+Show Affiliations

Lingenfelser T
Department of Medicine, Eberhard-Karls-University Tuebingen, Germany.
Mueller M
No affiliation info available
Marks IN
No affiliation info available
Dette S
No affiliation info available
Wehrman M
No affiliation info available
Scheurlen M
No affiliation info available

MeSH

AgedBiopsyCapillariesFemaleGastric MucosaGastrointestinal HemorrhageGastroscopyHumansHypertension, PortalLaser TherapyLiver Cirrhosis, AlcoholicPyloric AntrumThrombosis

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8322479