Journal of Jianghan University (Natural Science Edition) ›› 2022, Vol. 50 ›› Issue (2): 69-75.doi: 10.16389/j.cnki.cn42-1737/n.2022.02.010

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Gastric Antral Vascular Ectasia（Watermelon Stomach）：A Case Report and Literature Review

YUE Jingru1，2，LI Zhongxia1，2，ZHANG Heng*2   

  1. 1. School of Medicine，Jianghan University，Wuhan 430056，Hubei，China；2. Department of Gastroenterology，The Central Hospital of Wuhan，Wuhan 430014，Hubei，China
  • Published:2022-03-28
  • Contact: ZHANG Heng

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Abstract: Objective Gastric antral vascular ectasia（GAVE）is an uncommon but important upper gastrointestinal bleeding disorder. This study aims to improve clinicians′ ability to distinguish and treat GAVE. Methods We analyzed the clinical data of a patient with GAVE and reviewed the etiology，pathogenesis，diagnosis，and treatment methods of GAVE based on the existing literature data. Results The elderly female patient， characterized endoscopically by watermelon stomach， presented with moderate to severe anemia and required repeated blood transfusions. Conclusion Argon plasma coagulation （APC） is currently the most widely used clinical method for treating GAVE，which has the advantages of low cost，easy operation，and safe，but it often requires multiple treatments to achieve a clinical cure.

Key words: gastric antral vascular ectasia, watermelon stomach, gastrointestinal bleeding, endoscopic treatment

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