Gastric antral vascular ectasia - Revision history

Michael: /* Endoscopic images */

2013-08-18T17:56:50Z

Endoscopic images

← Older revision		Revision as of 17:56, 18 August 2013
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	===Endoscopic images===		===Endoscopic images===
	<gallery>		<gallery>
	Image:Gastric antral vascular ectasia (before and after).png \|GAVE. (WC)		Image:Gastric antral vascular ectasia (before and after).png \|GAVE - before and after treatment. (WC)
	</gallery>		</gallery>
	www:		www:

Michael at 17:55, 18 August 2013

2013-08-18T17:55:15Z

← Older revision		Revision as of 17:55, 18 August 2013
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	\| Syndromes =		\| Syndromes =
	\| Clinicalhx = 60s or 70s, females:males >2:1		\| Clinicalhx = 60s or 70s, females:males >2:1
	\| Signs =		\| Signs = +/- melena
	\| Symptoms =		\| Symptoms =
	\| Prevalence = uncommon		\| Prevalence = uncommon
	\| Bloodwork = usu. [[anemia]] ~~or melena~~		\| Bloodwork = usu. [[anemia]]
	\| Rads =		\| Rads =
	\| Endoscopy = linear red streaks in antrum - watermelon-like		\| Endoscopy = linear red streaks in antrum - watermelon-like
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	==General==		==General==
	*~~Lesion of the antrum - due to dilated capillaries~~.		*Etiology not well understood.<ref name=pmid20011731/>
			*Typically presents with gastrointestinal bleeding or [[anemia]].
	*Age - usually 60s or 70s.		*Age - usually 60s or 70s.
	*Females:males >2:1.<ref name=pmid20011731>{{Cite journal \| last1 = Rosenfeld \| first1 = G. \| last2 = Enns \| first2 = R. \| title = Argon photocoagulation in the treatment of gastric antral vascular ectasia and radiation proctitis. \| journal = Can J Gastroenterol \| volume = 23 \| issue = 12 \| pages = 801-4 \| month = Dec \| year = 2009 \| doi = \| PMID = 20011731 \| PMC = 2805515 }}</ref>		*Females:males >2:1.<ref name=pmid20011731>{{Cite journal \| last1 = Rosenfeld \| first1 = G. \| last2 = Enns \| first2 = R. \| title = Argon photocoagulation in the treatment of gastric antral vascular ectasia and radiation proctitis. \| journal = Can J Gastroenterol \| volume = 23 \| issue = 12 \| pages = 801-4 \| month = Dec \| year = 2009 \| doi = \| PMID = 20011731 \| PMC = 2805515 }}</ref>

	==Gross/endoscopic appearance==		==Gross/endoscopic appearance==
	* Linear red streaks in antrum - oriented toward the pyloric valve... vaguely resembles a watermelon.		* Linear red streaks in antrum - streaks oriented toward the pyloric valve... vaguely resembles a watermelon.

	~~Endoscopic images:~~
	*[http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2443230&rendertype=figure&id=f1-19 Watermelon stomach (pubmedcentral.nih.gov)].

			===Endoscopic images===
	<gallery>		<gallery>
	Image:Gastric antral vascular ectasia (before and after).png \|GAVE. (WC)		Image:Gastric antral vascular ectasia (before and after).png \|GAVE. (WC)
	</gallery>		</gallery>
			www:
			*[http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2443230&rendertype=figure&id=f1-19 Watermelon stomach (pubmedcentral.nih.gov)].

	==Microscopic==		==Microscopic==
	Features:<ref name=Ref_GLP118>{{Ref GLP\|118}}</ref>		Features:<ref name=Ref_GLP118>{{Ref GLP\|118}}</ref>
	*Fibrin thrombi - '''characteristic feature'''.		*Fibrin thrombi - '''characteristic feature'''.
	*Dilated capillaries in lamina propria.		*Dilated capillaries in lamina propria - '''important feature'''.
	*+/-Foveollar hyperplasia.<ref name=Ref_GLP119>{{Ref GLP\|119}}</ref>		*+/-Foveollar hyperplasia.<ref name=Ref_GLP119>{{Ref GLP\|119}}</ref>

Michael: fix sp, more images

2013-08-15T15:36:21Z

fix sp, more images

← Older revision		Revision as of 15:36, 15 August 2013
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	\| Bloodwork = usu. [[anemia]] or melena		\| Bloodwork = usu. [[anemia]] or melena
	\| Rads =		\| Rads =
	\| Endoscopy = linear red streaks in antrum - ~~watermellon~~-like		\| Endoscopy = linear red streaks in antrum - watermelon-like
	\| Prognosis =		\| Prognosis =
	\| Other =		\| Other =
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	Image:Gastric_antral_vascular_ectasia_-_2_-_intermed_mag.jpg \| GAVE - intermed. mag. (WC)		Image:Gastric_antral_vascular_ectasia_-_2_-_intermed_mag.jpg \| GAVE - intermed. mag. (WC)
	Image:Gastric_antral_vascular_ectasia_-_2_-_very_high_mag.jpg \| GAVE - very high mag. (WC)		Image:Gastric_antral_vascular_ectasia_-_2_-_very_high_mag.jpg \| GAVE - very high mag. (WC)
			</gallery>
			<gallery>
			Image:Gastric antral vascular ectasia - low mag.jpg \| GAVE - low mag. (WC)
			Image:Gastric antral vascular ectasia - intermed mag.jpg \| GAVE - intermed. mag. (WC)
			Image:Gastric antral vascular ectasia - high mag.jpg \| GAVE - high mag. (WC)
	Image:Gastric_antral_vascular_ectasia_-_very_high_mag.jpg \| GAVE - two thrombi - very high mag. (WC)		Image:Gastric_antral_vascular_ectasia_-_very_high_mag.jpg \| GAVE - two thrombi - very high mag. (WC)
	</gallery>		</gallery>

Michael: tweak

2013-08-15T15:29:51Z

tweak

← Older revision		Revision as of 15:29, 15 August 2013
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	\| Assdx =		\| Assdx =
	\| Syndromes =		\| Syndromes =
	\| Clinicalhx = 60s or 70s, females > ~~males~~		\| Clinicalhx = 60s or 70s, females:males >2:1
	\| Signs =		\| Signs =
	\| Symptoms =		\| Symptoms =
Line 41:		Line 41:
	*Lesion of the antrum - due to dilated capillaries.		*Lesion of the antrum - due to dilated capillaries.
	*Age - usually 60s or 70s.		*Age - usually 60s or 70s.
	*Females:males ~ >2:1.<ref name=pmid20011731>{{Cite journal \| last1 = Rosenfeld \| first1 = G. \| last2 = Enns \| first2 = R. \| title = Argon photocoagulation in the treatment of gastric antral vascular ectasia and radiation proctitis. \| journal = Can J Gastroenterol \| volume = 23 \| issue = 12 \| pages = 801-4 \| month = Dec \| year = 2009 \| doi = \| PMID = 20011731 \| PMC = 2805515 }}</ref>		*Females:males >2:1.<ref name=pmid20011731>{{Cite journal \| last1 = Rosenfeld \| first1 = G. \| last2 = Enns \| first2 = R. \| title = Argon photocoagulation in the treatment of gastric antral vascular ectasia and radiation proctitis. \| journal = Can J Gastroenterol \| volume = 23 \| issue = 12 \| pages = 801-4 \| month = Dec \| year = 2009 \| doi = \| PMID = 20011731 \| PMC = 2805515 }}</ref>

	==Gross/endoscopic appearance==		==Gross/endoscopic appearance==

Michael: tweak

2013-08-15T15:25:54Z

tweak

← Older revision		Revision as of 15:25, 15 August 2013
Line 40:		Line 40:
	==General==		==General==
	*Lesion of the antrum - due to dilated capillaries.		*Lesion of the antrum - due to dilated capillaries.
			*Age - usually 60s or 70s.
			*Females:males ~ >2:1.<ref name=pmid20011731>{{Cite journal \| last1 = Rosenfeld \| first1 = G. \| last2 = Enns \| first2 = R. \| title = Argon photocoagulation in the treatment of gastric antral vascular ectasia and radiation proctitis. \| journal = Can J Gastroenterol \| volume = 23 \| issue = 12 \| pages = 801-4 \| month = Dec \| year = 2009 \| doi = \| PMID = 20011731 \| PMC = 2805515 }}</ref>

	==Gross/endoscopic appearance==		==Gross/endoscopic appearance==
Line 46:		Line 48:
	Endoscopic images:		Endoscopic images:
	*[http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2443230&rendertype=figure&id=f1-19 Watermelon stomach (pubmedcentral.nih.gov)].		*[http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2443230&rendertype=figure&id=f1-19 Watermelon stomach (pubmedcentral.nih.gov)].
	*[http:~~//en.wikipedia.org/wiki/File:Gave~~.png GAVE (WP)].
			<gallery>
			Image:Gastric antral vascular ectasia (before and after).png \|GAVE. (WC)
			</gallery>

	==Microscopic==		==Microscopic==

Michael: tweak

2013-08-15T15:19:42Z

tweak

← Older revision		Revision as of 15:19, 15 August 2013
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	\| Assdx =		\| Assdx =
	\| Syndromes =		\| Syndromes =
	\| Clinicalhx =		\| Clinicalhx = 60s or 70s, females > males
	\| Signs =		\| Signs =
	\| Symptoms =		\| Symptoms =
	\| Prevalence =		\| Prevalence = uncommon
	\| Bloodwork =		\| Bloodwork = usu. [[anemia]] or melena
	\| Rads =		\| Rads =
	\| Endoscopy = linear red streaks in antrum - watermellon-like		\| Endoscopy = linear red streaks in antrum - watermellon-like

Michael: +infoboxes

2013-08-15T15:17:04Z

+infoboxes

← Older revision		Revision as of 15:17, 15 August 2013
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			{{ Infobox diagnosis
			\| Name = {{PAGENAME}}
			\| Image = Gastric_antral_vascular_ectasia_-_very_high_mag.jpg
			\| Width =
			\| Caption = Gastric antral vascular ectasia. [[H&E stain]].
			\| Micro = fibrin thrombi (characteristic feature), dilated capillaries in lamina propria, +/-foveollar hyperplasia
			\| Subtypes =
			\| LMDDx = [[portal hypertensive gastropathy]]
			\| Stains =
			\| IHC =
			\| EM =
			\| Molecular =
			\| IF =
			\| Gross =
			\| Grossing =
			\| Site = [[stomach]]
			\| Assdx =
			\| Syndromes =
			\| Clinicalhx =
			\| Signs =
			\| Symptoms =
			\| Prevalence =
			\| Bloodwork =
			\| Rads =
			\| Endoscopy = linear red streaks in antrum - watermellon-like
			\| Prognosis =
			\| Other =
			\| ClinDDx =
			}}
			{{ Infobox external links
			\| Name = {{PAGENAME}}
			\| EHVSC =
			\| EHVSC_mult =
			\| pathprotocols =
			\| wikipedia = gastric antral vascular ectasia
			\| pathoutlines =
			}}
	'''Gastric antral vascular ectasia''', abbreviated '''GAVE''', is an uncommon pathology of the [[stomach]]. It is also known as '''watermelon stomach''' due to characteristic endoscopic appearance.<ref name=pmid18625989>{{cite journal \|author=Chatterjee S \|title=Watermelon stomach \|journal=CMAJ \|volume=179 \|issue=2 \|pages=162 \|year=2008 \|month=July \|pmid=18625989 \|pmc=2443230 \|doi=10.1503/cmaj.080461 \|url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=18625989}}</ref>		'''Gastric antral vascular ectasia''', abbreviated '''GAVE''', is an uncommon pathology of the [[stomach]]. It is also known as '''watermelon stomach''' due to characteristic endoscopic appearance.<ref name=pmid18625989>{{cite journal \|author=Chatterjee S \|title=Watermelon stomach \|journal=CMAJ \|volume=179 \|issue=2 \|pages=162 \|year=2008 \|month=July \|pmid=18625989 \|pmc=2443230 \|doi=10.1503/cmaj.080461 \|url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=18625989}}</ref>

Michael: split out

2013-08-15T15:13:09Z

split out

← Older revision		Revision as of 15:13, 15 August 2013
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	~~#redirect~~ [[Stomach~~#Gastric_antral_vascular_ectasia~~]]		'''Gastric antral vascular ectasia''', abbreviated '''GAVE''', is an uncommon pathology of the [[stomach]]. It is also known as '''watermelon stomach''' due to characteristic endoscopic appearance.<ref name=pmid18625989>{{cite journal \|author=Chatterjee S \|title=Watermelon stomach \|journal=CMAJ \|volume=179 \|issue=2 \|pages=162 \|year=2008 \|month=July \|pmid=18625989 \|pmc=2443230 \|doi=10.1503/cmaj.080461 \|url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=18625989}}</ref>

			==General==
			*Lesion of the antrum - due to dilated capillaries.

			==Gross/endoscopic appearance==
			* Linear red streaks in antrum - oriented toward the pyloric valve... vaguely resembles a watermelon.

			Endoscopic images:
			*[http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2443230&rendertype=figure&id=f1-19 Watermelon stomach (pubmedcentral.nih.gov)].
			*[http://en.wikipedia.org/wiki/File:Gave.png GAVE (WP)].

			==Microscopic==
			Features:<ref name=Ref_GLP118>{{Ref GLP\|118}}</ref>
			*Fibrin thrombi - '''characteristic feature'''.
			*Dilated capillaries in lamina propria.
			*+/-Foveollar hyperplasia.<ref name=Ref_GLP119>{{Ref GLP\|119}}</ref>

			DDx:
			*[[Portal hypertensive gastropathy]] - predominantly in the gastric body, usu. associated with [[cirrhosis]], do not have fibrin thrombi.<ref name=Ref_GLP120-1>{{Ref GLP\|120-1}}</ref>

			===Images===
			<gallery>
			Image:Gastric_antral_vascular_ectasia_-_2_-_intermed_mag.jpg \| GAVE - intermed. mag. (WC)
			Image:Gastric_antral_vascular_ectasia_-_2_-_very_high_mag.jpg \| GAVE - very high mag. (WC)
			Image:Gastric_antral_vascular_ectasia_-_very_high_mag.jpg \| GAVE - two thrombi - very high mag. (WC)
			</gallery>

			==Sign out==
			<pre>
			STOMACH, BIOPSY:
			- GASTRIC ANTRAL VASCULAR ECTASIA WITH FOVEOLAR HYPERPLASIA.
			- MILD CHRONIC ACTIVE ANTRAL GASTRITIS.
			- NEGATIVE FOR INTESTINAL METAPLASIA.
			- NEGATIVE FOR DYSPLASIA.
			- NEGATIVE FOR HELICOBACTER ORGANISMS.
			</pre>

			===Micro===
			The sections show antral-type gastric mucosa with dilated lamina propria blood vessels and intravascular fibrin thrombi. There is mild foveolar hyperplasia. Numerous neutrophils are present between the foveollar cells and within the lamina propria. Several large clusters of plasma cells are present in the lamina propria.

			==See also==
			*[[Stomach]].

			==References==
			{{Reflist\|2}}

	[[Category:Diagnosis]]		[[Category:Diagnosis]]
			[[Category:Stomach]]
			[[Category:Gastrointestinal pathology]]

Michael: redirect w/ cat.

2011-10-22T21:55:43Z

redirect w/ cat.

New page

#redirect [[Stomach#Gastric_antral_vascular_ectasia]]

[[Category:Diagnosis]]