Abstract
A 48-year-old man was admitted to our hospital complaining of tarry stool. Laboratory data revealed marked anemia (Hgb 4.7g/dl) . Endoscopic examination revealed diffusely erythematous spots and Oozing hemorrhage at the gastric antrum. Endoscopic biopsy specimen taken from those areas demonstrated dilated vessels with fibrosis in the proper gastric mucosal layer. A 68-year-old man was admitted to our hospital complaining of general fatigue. Laboratory data revealed marked anemia (Hgb 6.0g/dl) . Endoscopic examination revealed longitudinal stripes, resembling the stripes of a watermelon at the gastric antrum. Endoscopic laser coagulation was performed for our two cases, under the diagnosis of gastric antral vascular ectasia (GAVE) . After the therapy, the vascular ectasia disappeared, and there was remarkable improvement in anemia. We consider that the endoscopic laser coagulation is an effective therapeutic method for gastric antral vascular ectasia, and should be the treatment first choice for this disease.
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