A Rare Cause of Upper Gastrointestinal System Haemorrhage: Gastric Antral Vascular Ectasia

Abstract

Gastric antral vascular ectasia (GAVE) is a rare cause of upper gastrointestinal bleeding and is also diffilt to diagnose.This typical endoscopic view was described as watermelon stomach by Jabbari. In the pathogenesis of the disease; mechanical stress, humoral and autoimmune factors and autoantibodies caused by hemodynamic changes are thoughtto cross-react with specifi proteins found in the vessels of the gastric mucosa and submucosa. When the patient, whowas hospitalized with the diagnosis of gastrointestinal system hemorrhage, showed fidings compatible with GAVEsyndrome in the upper gastrointestinal system endoscopy, the patients were treated with argon plasma coagulationtwice, but an operation was planned after bleeding did not stop. Laparoscopic antrectomy and gastroenterostomywere performed. Surgical intervention due to comorbidities of the patient has high morbidity and mortality in thispatient group. However, in cases where endoscopic treatment methods do not respond, surgical intervention optionshould be considered