Published online Oct 14, 2014. doi: 10.3748/wjg.v20.i38.14073
Revised: May 6, 2014
Accepted: July 24, 2014
Published online: October 14, 2014
Gastric 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.
Core tip: Gastric antral vascular ectasia (GAVE) is still an uncommon and often neglected cause of gastric hemorrhage and surgery for treatment is not often reported in the literature. This case report represents that a GAVE patient who had recurrent melena successfully treated with distal gastrectomy. When clinical condition of GAVE patients deteriorate, surgery should be considered.