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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Gastric antral vascular ectasia surgery

Introduction

Overview

Overview

Surgery

Surgery

Surgery, consisting of excision of part of the lower stomach, also called antrectomy, is another option. Antrectomy is the resection, or surgical removal, of a part of the stomach known as the antrum.[1]

Laparoscopic surgery is possible in some cases, and as of 2003, was a novel approach to treating watermelon stomach.[2]

A treatment used sometimes is endoscopic band ligation.[3]

In 2010, a team of Japanese surgeons performed a novel endoscopic ablation of gastric antral vascular ectasia.[4] The experimental procedure resulted in no complications.[4]

Relapse is possible, even after treatment by argon plasma coagulation and progesterone.[5] In such cases of relapse, surgery may be the only option; in one case that involved Endoscopic mucosal resection.[6]

Antrectomy or other surgery is used as a last resort for GAVE. The risks of surgery should be considered. It is said that surgery is the only cure for GAVE.

References

References

  1. ↑ Surgery Encyclopedia website page on Antrectomy. Accessed September 29, 2010.
  2. ↑ Sherman, V; Klassen, DR; Feldman, LS; Jabbari, M; Marcus, V; Fried, GM (2003). “Laparoscopic antrectomy: a novel approach to treating watermelon stomach”. Journal of the American College of Surgeons. 197 (5): 864. doi:10.1016/S1072-7515(03)00600-8. PMID 14585429.
  3. ↑ Wells, C; Harrison, M; Gurudu, S; Crowell, M; Byrne, T; Depetris, G; Sharma, V (2008). “Treatment of gastric antral vascular ectasia (watermelon stomach) with endoscopic band ligation”. Gastrointestinal Endoscopy. 68 (2): 231. doi:10.1016/j.gie.2008.02.021. PMID 18533150.
  4. ↑ 4.0 4.1 Komiyama, Masae; Fu, K; Morimoto, T; Konuma, H; Yamagata, T; Izumi, Y; Miyazaki, A; Watanabe, S (2010). “A novel endoscopic ablation of gastric antral vascular ectasia”. World Journal of Gastrointestinal Endoscopy. 2 (8): 298. doi:10.4253/wjge.v2.i8.298. PMC 2999147. PMID 21160630.
  5. ↑ Shibukawa, G; Irisawa, A; Sakamoto, N; Takagi, T; Wakatsuki, T; Imamura, H; Takahashi, Y; Sato, A; Sato, M (2007). “Gastric antral vascular ectasia (GAVE) associated with systemic sclerosis: relapse after endoscopic treatment by argon plasma coagulation”. Internal medicine (Tokyo, Japan). 46 (6): 279–83. doi:10.2169/internalmedicine.46.6203. PMID 17379994.
  6. ↑ Katsinelos, P; Chatzimavroudis, G; Katsinelos, T; Panagiotopoulou, K; Kotakidou, R; Tsolkas, G; Triantafillidis, I; Papaziogas, B (2008). “Endoscopic mucosal resection for recurrent gastric antral vascular ectasia”. VASA. Zeitschrift fur Gefasskrankheiten. Journal for vascular diseases. 37 (3): 289–92. doi:10.1024/0301-1526.37.3.289. PMID 18690599.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]