• World J. Gastroenterol. · Oct 2014

    Case Reports

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

    • Ting Jin, Bao-Ying Fei, Wei-Hua Zheng, and Yong-Xiang Wang.
    • Ting Jin, Wenzhou Medical University, Wenzhou 325016, Zhejiang Province, China.
    • World J. Gastroenterol. 2014 Oct 14; 20 (38): 14073-5.

    AbstractGastric 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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