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Endoscopy 1987; 19(5): 218-220
DOI: 10.1055/s-2007-1018287
© Georg Thieme Verlag KG Stuttgart · New York

Diffuse Gastric Antral Vascular Ectasia: Cause of Chronic Gastrointestinal Blood Loss

T. Arendt1 , M. Barten1 , V. Lakner2 , R. Arendt2
  • 1Institute of Pathology, Wilhelm-Pieck-University, Rostock, GDR
  • 2Clinic of Internal Medicine, Wilhelm-Pieck-University, Rostock, GDR
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Publication History

Publication Date:
17 March 2008 (online)

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See also:

Gastric Antral Vascular Ectasia and Primary Biliary CirrhosisEndoscopy 1988; 20(06): 334-334
DOI: 10.1055/s-2007-1018210

Summary

In a patient with long-standing iron deficiency anemia, diffuse gastric antral vascular ectasia was found endoscopically. Diagnostic problems were the misinterpretation of the macroscopic finding as hemorrhagic inflammation and the microscopic confirmation of the diagnosis from small biopsy particles. Resection of the antrum resulted in a persistent normalization of hematologic parameters. Focal ischemia due to microthrombi in mucosal vessels might be the cause of the tendency of this vascular malformation to bleed.

Key words:

Diffuse gastric antral vascular ectasia - Chronic gastrointestinal hemorrhage