What is Watermelon Stomach or Gastric Antral Vascular Ectasia (GAVE)?
Watermelon Stomach , medically known as Gastric Antral Vascular Ectasia ( GAVE ) , is a term where a person suffers from chronic gastrointestinal bleeding leading to iron deficiencyanemia . The someone affected from H2O melon vine abdomen has elaborate small blood vessel in the last part of the stomach , which is the antrum . These dilated blood vessels lead to enteric bleeding and causes appearing of red streaks internally and outwardly on the stomach giving it a coming into court of watermelon ; hence the name watermelon tum . Citrullus vulgaris Stomach or Gastric Antral Vascular Ectasia ( GAVE ) can become potentially fatal if the excessive haemorrhage is not controlled .
Anyone can suffer from this condition , however , charwoman maturate above 50 and who are suffer fromirritable intestine syndrome , autoimmune disease , cirrhosis of the liver or any hurt to the abdomen are at an increased to suffer from Watermelon Stomach or Gastric Antral Vascular Ectasia ( GAVE ) .
Causes of Watermelon Stomach or Gastric Antral Vascular Ectasia (GAVE)
The exact cause of Watermelon Stomach or Gastric Antral Vascular Ectasia ( GAVE ) is not clear , but affected role who are suffering from inveterate conditions , such as cirrhosis of the liver , systemic induration , CREST syndromeand autoimmune disease more commonly diagnose with Watermelon Stomach . dilatation occurring as a resultant role of vasculitis , diseases which stymy the occasion of thegastrointestinal system , abdominal injury , grave ’s disease or cirrhosis are some of the causes for the appearance of the dilated blood vessels in the lower or antral part of the stomach . Individuals who are at increased risk for developing Watermelon Stomach or Gastric Antral Vascular Ectasia ( GAVE ) often hurt from peckish bowel syndrome , large bowel obstruction and chronic constipation . If there is falling out of the dilated blood watercraft , then patient can have haemorrhage / hemorrhaging lead to subsequent genus Anemia .
Signs & Symptoms of Watermelon Stomach or Gastric Antral Vascular Ectasia (GAVE)
GI bleeding is the most obvious sign of Watermelon Stomach or Gastric Antral Vascular Ectasia ( GAVE ) , which in turn leads to symptoms which include : fucking commode , hematemesis ( vomiting origin ) and anemia . Patient also can receive other symptoms of Watermelon Stomach or Gastric Antral Vascular Ectasia ( GAVE ) , such as shallow breathing , inveterate concern , fatigue / impuissance , difficulty in assiduousness , palpitations , chest pain , lightheadedness and discombobulation . These symptoms occur from extreme blood loss in Watermelon Stomach or Gastric Antral Vascular Ectasia ( GAVE ) . If the above symptoms are experienced , then patient should consult his / her Dr. right away so that right discourse is start as before long as possible .
Diagnosis of Watermelon Stomach or Gastric Antral Vascular Ectasia (GAVE)
The symptom of water melon tummy can be err for other condition , which have different types of treatment . For this reason it is important to arrive at proper differential diagnosis for Watermelon Stomach or Gastric Antral Vascular Ectasia ( GAVE ) . Gastric / duodenal ulcer and portal hypertension are some of the common case which should be considered for get in at an adequate differential diagnosis . Other intermittent causes includehemobilia , Gastric antral vascular ectasia , Cameron lesions , aortoenteric fistulas , Dieulafoy lesion , hemosuccus pancreaticus , upper GI tumors and portal hypertensive gastropathy , which should be include for an adequate differential diagnosing .
Endoscopic Biopsy : For arrive at a conclusive diagnosing , endoscopic biopsy is the only method acting . Doing an endoscopy , the characteristic watermelon chevron of watermelon stomach can be seen . The watermelon vine streaks look as flat , erythematous stripes in longitudinal or vertical rows , which arise from the pylorus and radiate or spread into the antrum .
The presentation of the watermelon streaks is unlike in patients stick out from portal hypertension . These patients may have diffuse antral angiomas rather of the glow formula . For support the diagnosis in either case , the follow such as tagged red blood cell scan , endoscopic ultrasound or CT scan can be done . Other than this , histopathological feature of speech of watermelon breadbasket or GAVE can also be characterise by vascular ectasia , spindle cell proliferation , and Hyaline arteriolosclerosis . Anti - RNA polymerase III auto - antibody can be used as a endangerment indication in patients with watermelon breadbasket who have systemic induration .
Treatment of Watermelon Stomach or Gastric Antral Vascular Ectasia (GAVE)
Medications for Watermelon Stomach or Gastric Antral Vascular Ectasia ( GAVE):Medicines can be prescribed for some patient for stopping or controlling the gastrointestinal hemorrhage . Medications , such as hormone therapy ( Lipo-Lutin and estrogen ) , corticosteroids and tranexamic acid have been successfully used for treat watermelon vine stomach . Other than these , iron supplements and line transfusions are also often needed , especially in case of severe bleeding . If there is unyielding gastrointestinal haemorrhage , then additional transfusions are done .
surgical process for Watermelon Stomach or Gastric Antral Vascular Ectasia ( GAVE):Endoscopic laser operating theatre or Argon plasma clotting are the two surgical method for treating watermelon stomach where endoscopy is used in both of these procedure . electrical current and argon gas are used in argon plasm coagulation for sealing of unorthodox tissue and haemorrhage ; whereas optical maser light is used for treating leech descent watercraft in endoscopic laser operation .
