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Gastric Antral Vascular Ectasia: A Case Report and Review of the Literature

Twin Rivers Gastroenterology Center, Easton, Pennsylvania
Cleveland Clinic Foundation, Cleveland, Ohio
St. Vincent Hospital and Health Center, Billings, Montana
Department of Radiology and Nuclear Medicine, National Naval Medical Center, Bethesda, Maryland
Office of the Attending Physician, U.S. Capitol, Washington, D.C.

Correspondence: For correspondence or reprints contact: Eugene D. Silverman, MD, Department of Radiology, National Naval Medical Center, Bethesda, MD 20889-5600.

ABSTRACT

We present an 83-yr-old woman with a history of renal insufficiency, diabetes and idiopathic thrombocytopenic purpura (ITP) who experienced recurrent hemorrhage from gastric antral vascular ectasias (GAVE). Methods: Extensive evaluation consisting of barium small bowel series, colonoscopy, abdominal CT scan and visceral angiography excluded other causes of bleeding. Results: After ^99mTc-labeled red cell imaging to localize the bleeding to the antrum, an antrectomy was performed. Seven months postsurgery, the patient experienced no further hemorrhage. Conclusion: ^99mTc-labeled red cell scans can be used for the diagnosis of GAVE.

Key Words: gastric antral vascular ectasias • technetium-99m-RBCs

FOOTNOTES

The opinions and assertions contained herein are the private ones of the authors and are not to be construed as official policy or as reflecting of the Department of Defense.

This article has been cited by other articles:

				K W BURAK, S S LEE, and P L BECK Portal hypertensive gastropathy and gastric antral vascular ectasia (GAVE) syndrome Gut, December 1, 2001; 49(6): 866 - 872. [Full Text] [PDF]