Beyond Watermelon Stomach: Risk Factors and Treatment of Recurrent Bleeding in Gastric Antral Vascular Ectasia (GAVE)
Abdulmajeed Albarrak · 2025
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Description
Abdulmajeed Albarrak, writing alone, reviewed why bleeding keeps returning in gastric antral vascular ectasia, nicknamed watermelon stomach. The condition dilates small vessels in the stomach's lower chamber, causing chronic blood loss and transfusion-dependent anemia, especially in older women. Cirrhosis, kidney disease, and autoimmune disorders raise the risk. Drugs help little and serve mainly as a bridge to procedures. Endoscopic treatment is first-line.
Argon plasma coagulation and band ligation are the workhorse techniques, effective and safe. Recurrence stays high, particularly in diffuse or severe disease. Radiofrequency ablation is a promising option for repeat bleeders, though long-term data are thin. Surgery removing the antrum is the last resort, with higher risks. The twenty twenty-five review orders the escalating options for clinicians facing a patient who keeps coming back anemic.
Catalog record
| CREATOR | Abdulmajeed Albarrak |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 15 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |