GAVE syndrome

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Classification according to ICD-10
K31.8 Other specified diseases of the stomach and duodenum
ICD-10 online (WHO version 2019)
View during gastroscopy

GAVE syndrome ( gastric antral vascular ectasia , watermelon stomach) stands for radial vasodilatation of the gastric mucosa, extending from the pylorus to the gastric body . The term watermelon stomach is derived from the watermelons -like from red-striped image at gastroscopy ( gastroscopy is found), which is also the hypertensive gastropathy similar.

The GAVE syndrome manifests itself as a chronic, occult blood loss (upper gastrointestinal bleeding ), which can lead to anemia ( iron deficiency anemia ). The bleeding can also lead to the loss of tarry stools (melaena). It occurs in portal hypertension , chronic kidney failure or collagenoses such as scleroderma .

One possible therapy is repeated treatment using argon gas plasma coagulation.

Individual evidence

  1. ↑ a b E. Biecker et al.: Efficient diagnosis and therapy of upper gastrointestinal bleeding. In: Dtsch Arztebl. 2008; 105 (5), pp. 85-93.

literature

  • S. Chatterjee: Watermelon stomach. In: CMAJ. 2008 Jul 15; 179 (2), p. 162. PMID 18625989
  • KW Burak, SS Lee, PL Beck: Portal hypertensive gastropathy and gastric antral vascular ectasia (GAVE) syndrome. In: Good . 2001 Dec; 49 (6), pp. 866-872. Review. PMID 11709525
  • S. Sebastian, CA O'Morain, MJ Buckley: Review article: current therapeutic options for gastric antral vascular ectasia. In: Aliment Pharmacol Ther . 2003 Jul 15; 18 (2), pp. 157-165. Review. PMID 12869075