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Updated: May 27, 2025
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
A delayed gastric antral vascular ectasia: A case report and literature review
Zheke Fang1,2, Jiajie Zhu2,3, Zheng Fang2,3
1Department of Rehabilitation, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang Province, China.
Rationale:
Gastric antral vascular ectasia (GAVE) is a rare cause of gastrointestinal bleeding. It presents challenges in both diagnosis and treatment.
Patient Concern:
We reported a female patient who was initially misdiagnosed with hemorrhage of the digestive tract. She was treated with medication for 4 months, but her hemoglobin levels still declined without blood transfusion.
Diagnosis:
Her diagnosis was GAVE after an endoscopic examination.
Interventions:
She was treated with an endoscopic argon plasma coagulation treatment, an endoscopic band ligation treatment, medication, and traditional Chinese medicine.
Outcomes:
This case was followed up for 6 months and her hemoglobin levels were above 9 g/dL.
Lessons:
A combination treatment of endoscopic and medication treatment will be a good choice of GAVE. More comprehensive understanding of GAVE will be build up with the developments of new technologies and methods.
