Gastric Antral Vascular Ectasia with Type A Gastritis; Case Report.

概要

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A 74-year-old woman was admitted to our hospital with severe anemia. Endoscopicexamination revealed longitudinal red stripes and diffuse erythematous spots indicatingdilated vessels in the gastric antrurn. Biopsy specimen demonstrated dilated vessels in theproper gastric mucosal layer, leading to a diagnosis of gastric antral vascular ectasia(GAVE). She had undergone upper gastrointestinal endoscopic examination 10 monthsbefore admission, but these abnormal findings were not observed. However, she hadatrophic gastritis at that time, mainly in the gastric body, and this was also observed atadmission. Laboratory studies showed hypergastrinemia and positive titrate of antiparietal cell antibody, and she was diagnosed as GAVE with type A gastritis. Endoscopiclaser coagulation was performed. After 3 sessions, the dilated vessels in the antrum werealmost obliterated and her anemia improved subsequently.
社団法人日本消化器内視鏡学会の論文