Surgical treatment of gastric antral vascular ectasia. Clinical case

Abstract

A clinical case of a 67-year-old patient suffering from severe iron deficiency anemia, caused by gastric antral vascular ectasia (GAVE), is described. This type of gastric angiodysplasia is characterized by a distinct endoscopic picture and is a rare cause of gastric bleeding. Endoscopic hemostasis is considered the main method of treatment, however, after argon plasma coagulation (APC), in our case, anemia recurred, and required repeated hospitalization and blood transfusion. Indications for surgical treatment were established, and Billroth I antrumectomy proved to be effective in refractory GAVE.