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Difference between revisions of "Gastric antral vascular ectasia"
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Gastric antral vascular ectasia (view source)
Revision as of 17:56, 18 August 2013
, 17:56, 18 August 2013→Endoscopic images
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| Assdx = | | Assdx = | ||
| Syndromes = | | Syndromes = | ||
| Clinicalhx = 60s or 70s, females > | | Clinicalhx = 60s or 70s, females:males >2:1 | ||
| Signs = | | Signs = +/- melena | ||
| Symptoms = | | Symptoms = | ||
| Prevalence = uncommon | | Prevalence = uncommon | ||
| Bloodwork = usu. [[anemia]] | | Bloodwork = usu. [[anemia]] | ||
| Rads = | | Rads = | ||
| Endoscopy = linear red streaks in antrum - | | Endoscopy = linear red streaks in antrum - watermelon-like | ||
| Prognosis = | | Prognosis = | ||
| Other = | | Other = | ||
| Line 39: | Line 39: | ||
==General== | ==General== | ||
* | *Etiology not well understood.<ref name=pmid20011731/> | ||
*Typically presents with gastrointestinal bleeding or [[anemia]]. | |||
*Age - usually 60s or 70s. | |||
*Females:males >2:1.<ref name=pmid20011731>{{Cite journal | last1 = Rosenfeld | first1 = G. | last2 = Enns | first2 = R. | title = Argon photocoagulation in the treatment of gastric antral vascular ectasia and radiation proctitis. | journal = Can J Gastroenterol | volume = 23 | issue = 12 | pages = 801-4 | month = Dec | year = 2009 | doi = | PMID = 20011731 | PMC = 2805515 }}</ref> | |||
==Gross/endoscopic appearance== | ==Gross/endoscopic appearance== | ||
* Linear red streaks in antrum - oriented toward the pyloric valve... vaguely resembles a watermelon. | * Linear red streaks in antrum - streaks oriented toward the pyloric valve... vaguely resembles a watermelon. | ||
Endoscopic images: | ===Endoscopic images=== | ||
<gallery> | |||
Image:Gastric antral vascular ectasia (before and after).png |GAVE - before and after treatment. (WC) | |||
</gallery> | |||
www: | |||
*[http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2443230&rendertype=figure&id=f1-19 Watermelon stomach (pubmedcentral.nih.gov)]. | *[http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2443230&rendertype=figure&id=f1-19 Watermelon stomach (pubmedcentral.nih.gov)]. | ||
==Microscopic== | ==Microscopic== | ||
Features:<ref name=Ref_GLP118>{{Ref GLP|118}}</ref> | Features:<ref name=Ref_GLP118>{{Ref GLP|118}}</ref> | ||
*Fibrin thrombi - '''characteristic feature'''. | *Fibrin thrombi - '''characteristic feature'''. | ||
*Dilated capillaries in lamina propria. | *Dilated capillaries in lamina propria - '''important feature'''. | ||
*+/-Foveollar hyperplasia.<ref name=Ref_GLP119>{{Ref GLP|119}}</ref> | *+/-Foveollar hyperplasia.<ref name=Ref_GLP119>{{Ref GLP|119}}</ref> | ||
| Line 61: | Line 67: | ||
Image:Gastric_antral_vascular_ectasia_-_2_-_intermed_mag.jpg | GAVE - intermed. mag. (WC) | Image:Gastric_antral_vascular_ectasia_-_2_-_intermed_mag.jpg | GAVE - intermed. mag. (WC) | ||
Image:Gastric_antral_vascular_ectasia_-_2_-_very_high_mag.jpg | GAVE - very high mag. (WC) | Image:Gastric_antral_vascular_ectasia_-_2_-_very_high_mag.jpg | GAVE - very high mag. (WC) | ||
</gallery> | |||
<gallery> | |||
Image:Gastric antral vascular ectasia - low mag.jpg | GAVE - low mag. (WC) | |||
Image:Gastric antral vascular ectasia - intermed mag.jpg | GAVE - intermed. mag. (WC) | |||
Image:Gastric antral vascular ectasia - high mag.jpg | GAVE - high mag. (WC) | |||
Image:Gastric_antral_vascular_ectasia_-_very_high_mag.jpg | GAVE - two thrombi - very high mag. (WC) | Image:Gastric_antral_vascular_ectasia_-_very_high_mag.jpg | GAVE - two thrombi - very high mag. (WC) | ||
</gallery> | </gallery> | ||