Anemia Secondary to Gastric Antral Vascular Ectasia Successfully Treated With Antral Gastrectomy

Cureus. 2024 Sep 18;16(9):e69663. doi: 10.7759/cureus.69663. eCollection 2024 Sep.

Abstract

Gastric antral vascular ectasia (GAVE) is a rare but significant cause of chronic gastrointestinal bleeding and anemia, particularly in elderly patients. We report the case of a 75-year-old female who presented with severe anemia secondary to GAVE. Despite multiple endoscopic interventions with argon plasma coagulation (APC) treatments and endoscopic band ligation (EBL), the patient's condition persisted, necessitating an antral gastrectomy with intraoperative endoscopy to delineate the proximal resection margin. Postoperative outcomes were favorable, with no recurrence of anemia or gastrointestinal bleeding observed during follow-up.

Keywords: antrectomy; argon plasma coagulation; endoscopic band ligation; endoscopy; gastrectomy; gastric antral vascular ectasia; gastrointestinal bleeding; surgery; watermelon stomach.

Publication types

  • Case Reports