Endoscopic follow-up study of development of gastric antral vascular ectasia associated with liver cirrhosis

Gastric antral vascular ectasia is an important cause of chronic gastrointestinal blood loss. However, its development and progression have not yet been clarified. We investigated its early lesions and progression by reviewing endoscopic films of five patients with gastric antral vascular ectasia fo...

Full description

Saved in:
Bibliographic Details
Published in:Journal of gastroenterology 1997-10, Vol.32 (5), p.587-592
Main Authors: Ikeda, M, Hayashi, N, Imamura, E, Kaneko, A, Michida, T, Yamamoto, K, Kurosawa, K, Kato, M, Masuzawa, M
Format: Article
Language:English
Subjects:
Aged
Anemia
Cirrhosis
Disease Progression
Electrocoagulation
Endoscopy
Female
Follow-Up Studies
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - pathology
Gastrointestinal Hemorrhage - surgery
Gastroscopy
Hemorrhage
Humans
Lesions
Liver
Liver cirrhosis
Liver Cirrhosis - complications
Liver Cirrhosis - pathology
Male
Middle Aged
Pyloric Antrum - blood supply
Pyloric Antrum - surgery
Retrospective Studies
Telangiectasis - complications
Telangiectasis - pathology
Telangiectasis - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Gastric antral vascular ectasia is an important cause of chronic gastrointestinal blood loss. However, its development and progression have not yet been clarified. We investigated its early lesions and progression by reviewing endoscopic films of five patients with gastric antral vascular ectasia followed for liver cirrhosis. In all patients, early findings were prepyloric red spots. In two patients, anemia due to gastrointestinal bleeding was already observed when vascular lesions were confined to the distal antrum. In the other three patients, anemia was observed 1-2 years after they showed a diagnostic pattern of gastric antral vascular ectasia. The vascular lesions gradually thickened and extended throughout the antrum, with the complete picture shown in 1.5-5 years. The pattern of distribution was classified into three types: diffuse spotty, diffuse confluent, and striped. These types could be predicted before the complete formation. Gastric antral vascular ectasia associated with liver cirrhosis started as prepyloric red spots and extended to the proximal antrum in various ways and varying time courses of less than 5 years; this entity may cause hemorrhage even in the early stage.
ISSN:0944-1174
1435-5922
DOI:10.1007/BF02934106