Skip to main content
NCBI home page
Gut logoLink to Gut
. 1994 Apr;35(4):461–463. doi: 10.1136/gut.35.4.461

Endoscopic laser treatment of diffuse gastric antral vascular ectasia.

S Potamiano 1, C R Carter 1, J R Anderson 1
PMCID: PMC1374791  PMID: 8174981

Abstract

Eight patients (six women and two men) were found to have iron deficiency anaemia due to diffuse gastric antral vascular ectasia. The mean age of the patients was 74.6 years (range 57-83). All required repeated blood transfusions (mean 18 units/year) before treatment. Five patients were classified as having the 'watermelon stomach' (group A) and three the 'honeycomb stomach' (group B), according to criteria described in previous reports. All were treated using neodymium:YAG laser photocoagulation. Significant endoscopic improvement and reduction in blood requirements were noticed in group A in which only one patient required a transfusion after treatment. Results in group B were disappointing. One patient was operated on and the other two still require blood transfusions. Laser treatment was safe in both groups and no major complications were encountered.

Full text

PDF
461

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Binmoeller K. F., Katon R. M. Bipolar electrocoagulation for watermelon stomach. Gastrointest Endosc. 1990 Jul-Aug;36(4):399–402. doi: 10.1016/s0016-5107(90)71076-0. [DOI] [PubMed] [Google Scholar]
  2. Bown S. G., Swain C. P., Storey D. W., Collins C., Matthewson K., Salmon P. R., Clark C. G. Endoscopic laser treatment of vascular anomalies of the upper gastrointestinal tract. Gut. 1985 Dec;26(12):1338–1348. doi: 10.1136/gut.26.12.1338. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Chawla S. K., Ramani K., Lo Presti P. The honeycomb stomach: coalesced gastric angiodysplasia. Gastrointest Endosc. 1990 Sep-Oct;36(5):516–518. doi: 10.1016/s0016-5107(90)71131-5. [DOI] [PubMed] [Google Scholar]
  4. Frager J. D., Brandt L. J., Frank M. S., Morecki R. Treatment of a patient with watermelon stomach using transendoscopic laser photocoagulation. Gastrointest Endosc. 1988 Mar-Apr;34(2):134–137. doi: 10.1016/s0016-5107(88)71280-8. [DOI] [PubMed] [Google Scholar]
  5. Gardiner G. W., Murray D., Prokipchuk E. J. Watermelon stomach, or antral gastritis. J Clin Pathol. 1985 Nov;38(11):1317–1318. doi: 10.1136/jcp.38.11.1317. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gostout C. J., Ahlquist D. A., Radford C. M., Viggiano T. R., Bowyer B. A., Balm R. K. Endoscopic laser therapy for watermelon stomach. Gastroenterology. 1989 Jun;96(6):1462–1465. doi: 10.1016/0016-5085(89)90513-1. [DOI] [PubMed] [Google Scholar]
  7. Heaton N. Aetiology of antral vascular malformation. J R Soc Med. 1986 Jul;79(7):434–434. [PMC free article] [PubMed] [Google Scholar]
  8. Jabbari M., Cherry R., Lough J. O., Daly D. S., Kinnear D. G., Goresky C. A. Gastric antral vascular ectasia: the watermelon stomach. Gastroenterology. 1984 Nov;87(5):1165–1170. [PubMed] [Google Scholar]
  9. Lee F. I., Costello F., Flanagan N., Vasudev K. S. Diffuse antral vascular ectasia. Gastrointest Endosc. 1984 Apr;30(2):87–90. doi: 10.1016/s0016-5107(84)72326-1. [DOI] [PubMed] [Google Scholar]
  10. Park R. H., Danesh B. J., Upadhyay R., Howatson A. G., Lee F. D., Russell R. I. Gastric antral vascular ectasia (watermelon stomach)--therapeutic options. Postgrad Med J. 1990 Sep;66(779):720–723. doi: 10.1136/pgmj.66.779.720. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Park R. H., Russell R. I. Watermelon stomach. Br J Surg. 1991 Apr;78(4):395–396. doi: 10.1002/bjs.1800780405. [DOI] [PubMed] [Google Scholar]
  12. Petrini J. L., Jr, Johnston J. H. Heat probe treatment for antral vascular ectasia. Gastrointest Endosc. 1989 Jul-Aug;35(4):324–328. doi: 10.1016/s0016-5107(89)72802-9. [DOI] [PubMed] [Google Scholar]
  13. Rose J. D. Endoscopic injection of alcohol for bleeding from gastroduodenal vascular anomalies. Br Med J (Clin Res Ed) 1987 Jul 11;295(6590):93–94. doi: 10.1136/bmj.295.6590.93. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Tovey F. I. Gastric antral vascular ectasia: the watermelon stomach. Gastroenterology. 1985 May;88(5 Pt 1):1293–1293. doi: 10.1016/s0016-5085(85)80107-4. [DOI] [PubMed] [Google Scholar]
  15. Tsai H. H., Smith J., Danesh B. J. Successful control of bleeding from gastric antral vascular ectasia (watermelon stomach) by laser photocoagulation. Gut. 1991 Jan;32(1):93–94. doi: 10.1136/gut.32.1.93. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Zuckerman G. R., Cornette G. L., Clouse R. E., Harter H. R. Upper gastrointestinal bleeding in patients with chronic renal failure. Ann Intern Med. 1985 May;102(5):588–592. doi: 10.7326/0003-4819-102-5-588. [DOI] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES