Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2022; 10(18): 6050-6059
Published online Jun 26, 2022. doi: 10.12998/wjcc.v10.i18.6050
Influences of etiology and endoscopic appearance on the long-term outcomes of gastric antral vascular ectasia
Hyo Jin Kwon, Si Hyung Lee, Joon Hyun Cho
Hyo Jin Kwon, Si Hyung Lee, Joon Hyun Cho, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu 42415, South Korea
Author contributions: Cho JH and Lee SH designed the study; Kwon HJ and Cho JH performed the research; Kwon HJ and Cho JH analyzed the data; Cho JH wrote the paper; Lee SH and Cho JH revised the manuscript.
Supported by the 2020 Yeungnam University Research Grant.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Yeungnam University Hospital (IRB No. 2021-10-044).
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Joon Hyun Cho, MD, PhD, Associate Professor, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, South Korea.ygowgo96@hanmail.net
Received: December 18, 2021
Peer-review started: December 18, 2021
First decision: January 23, 2022
Revised: January 31, 2022
Accepted: April 24, 2022
Article in press: April 24, 2022
Published online: June 26, 2022
Core Tip

Core Tip: The study shows that punctate (diffuse, honeycomb)-type gastric antral vascular ectasia (GAVE) is strongly associated with liver cirrhosis, whereas striped (linear, watermelon)-type GAVE is strongly associated with non-cirrhotic underlying disease. Additionally, GAVE patients without cirrhosis tended to be more prone to overt bleeding. However, the presence of cirrhosis and endoscopic GAVE patterns did not influence clinical courses or the outcomes of overt bleeding after endoscopic APC treatment. It appears that clinical manifestations are dependent on etiologies, but that etiologies do not influence clinical courses in cases of GAVE bleeding.