PMC5465652_01
Clinical course of the patient with GAVE experiencing oozing and treated by APC and blood transfusion. Arrows indicate hospitalizations.
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The clinical course is presented in Figure 1.
a Endoscopic appearance of red patches or spots in a diffuse or linear array in the antrum of the stomach and oozing of blood. b Endoscopic appearance of gastric erosion emerged in the antrum after APC. c Endoscopic appearance of multiple columns of tortuous ectatic vessels with oozing in the antrum of the stomach.
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Endoscopic findings showed red patches or spots in a diffuse or linear array in the antrum of the stomach, and oozing of blood (Fig. 2a). APC was performed to stop the oozing from GAVE (Fig. 2b). In March, June, and September 2008, the patient repeatedly experienced progression of anemia and tarry stool due to the oozing of blood from GAVE (Fig. 2c).
a Endoscopic appearance showed that red patches or spots had improved in the antrum of the stomach. b Endoscopic appearance showed gastric ulcer emergence on the gastric angle of the greater curvature.c Endoscopic appearance revealed small and flat red spots in the antrum, and again diffuse oozing of blood. d Endoscopic appearance showed the classic "watermelon stomach" with columns of tortuous ectatic vessels attenuated in the antrum of the stomach.
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In November 2011, upper GI endoscopy showed improvement of the red patches or spots in the antrum of the stomach (Fig. 3a). Endoscopic images showed that a gastric ulcer had emerged on the gastric angle of the greater curvature (Fig. 3b). Upper GI endoscopy revealed small and flat red spots in the antrum (Fig. 3c). Follow-up upper GI endoscopy showed that red patches or spots were attenuated in the antrum of the stomach (Fig. 3d).