Gastric antral vascular ectasia

GAVE = watermelon stomach (gastric antral vascular ectasia)

• Pathology
  • Red stripes represent ectatic and sacculated mucosal vessels
  • Vascular ectasia, spindle cell proliferation, fibrohylalinosis
• Endoscopy
  • Longitudinal rows of flat red stripes radiating from pylorus
    • The red streaks represent dilated blood vessels, while the pale areas are less affected mucosa.
• Cause
  • Unclear
  • GΑVE is usually an isolated problem but has been associated with ϲirrhοsiѕ and systemic sclerosis
  • Involves vascular ectasia, mucosal injury, and chronic blood flow abnormalities.
  • Typically in older women
• Clinical
  • IDA
• Treatment
  • APC, RFA, bipolar, heater probe, laser