gastric antral vascular ectasia

Etiology

• 60% have underlying autoimmune disease
  • associated with systemic sclerosis
• 40% have portal hypertension due to hepatic cirrhosis

Epidemiology

• an uncommon form of gastritis

Pathology

• proliferation of blood vessels in the antrum of the stomach
• fibrin thrombi
• fibromuscular hyperplasia

Clinical manifestations

• gastrointestinal bleeding (acute or chronic)

Diagnostic procedures

• upper gastrointestinal endoscopy
  • dilated gastric antral vasculature
  • appearance of watermellon stripes (watermellon stomach)

Management

• argon plasma coagulation or laser coagulation

More general terms

• gastritis