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Journal of Education, Health and Sport

Gastric antral vascular ectasia, also known as watermelon stomach - diagnosis and treatment
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Gastric antral vascular ectasia, also known as watermelon stomach - diagnosis and treatment

Authors

  • Karolina Jurasz Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie https://orcid.org/0009-0004-4818-3261
  • Dominika Podgórska St. Jadwiga Queen Clinical Regional Hospital No. 2 in Rzeszow Lwowska 60, Rzeszów 35-301 https://orcid.org/0009-0005-0023-9630
  • Ewa Rzeska District Hospital in Pultusk Gajda-Med Sp. z o.o. Ul. Teofila Kwiatkowskiego 19, 06-102 Pułtusk https://orcid.org/0009-0000-4141-2819
  • Miłosz Sanecki St. Jadwiga Queen Clinical Regional Hospital No. 2 in Rzeszow Lwowska 60, Rzeszów 35-301 https://orcid.org/0009-0009-2453-8482
  • Karolina Tomczyk District Hospital in Stalowa Wola Staszica 4, Stalowa Wola 37-450 https://orcid.org/0009-0008-6295-1166
  • Natalia Chojnacka Dr. Karol Jonscher Hospital in Lodz ul. Milionowa 14, 93-113 Łódź https://orcid.org/0009-0000-6454-5032
  • Jakub Klarycki District Hospital in Stalowa Wola Staszica 4, Stalowa Wola 37-450 https://orcid.org/0009-0001-4168-0001
  • Radosław Cymer Lower-Silesian Center of Oncology, Pulmonary and Hematology in Wroclaw pl. L. Hirszfelda 12, 53-413 Wrocław https://orcid.org/0009-0007-7165-2806

DOI:

https://doi.org/10.12775/JEHS.2024.52.012

Keywords

Gastroenterology, gastrointestinal bleeding, endoscopy, ablation, pharmacological treatment, surgical procedure, differential diagnosis

Abstract

Gastric antral vascular ectasia (GAVE), also referred to as watermelon stomach is a rare disease accounting for about 4% of non-variceal upper gastrointestinal bleeding. It can manifest as occult bleeding requiring transfusion or acute gastrointestinal bleeding. This condition often coexists with liver cirrhosis, autoimmune diseases, heart failure, in patients post-bone marrow transplantation, or kidney failure. It is crucial to differentiate GAVE from portal hypertensive gastropathy (PHG), because despite a similar clinical presentation, the treatment for these conditions is different.

Endoscopic diagnosis is necessary and in some cases, it may require further investigation and histopathological examination of the biopsy. Treatment is administered to patients with bleeding symptoms. Currently, the most commonly used treatment method is endoscopic thermal ablation using argon plasma coagulation.

The focus of this work is to present essential information regarding the clinical picture, diagnosis and treatment of watermelon stomach.

References

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Suit PF, Petras RE, Bauer TW, et al. Gastric antral vascular ectasia. A histologic and morphometric study of “the watermelon stomach”. Am J Surg Pathol 1987; 11: 750–757

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Published

2024-01-12

How to Cite

1.
JURASZ, Karolina, PODGÓRSKA, Dominika, RZESKA, Ewa, SANECKI, Miłosz, TOMCZYK, Karolina, CHOJNACKA, Natalia, KLARYCKI, Jakub and CYMER, Radosław. Gastric antral vascular ectasia, also known as watermelon stomach - diagnosis and treatment. Journal of Education, Health and Sport. Online. 12 January 2024. Vol. 52, pp. 169-180. [Accessed 7 July 2025]. DOI 10.12775/JEHS.2024.52.012.
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Vol. 52 (2024)

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Review Articles

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Copyright (c) 2024 Karolina Jurasz, Dominika Podgórska, Ewa Rzeska, Miłosz Sanecki, Karolina Tomczyk, Natalia Chojnacka, Jakub Klarycki, Radosław Cymer

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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