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Watermelon stomach

Known as gastric antral vascular ectasia.

Causes chronic gastrointestinal bleeding and may lead to iron deficiency anemia.

Associated with dilated small blood vessels in the antrum.

Named watermelon stomach because of the presence of streaky long red areas seen on endoscopy that resemble the markings of a watermelon.

Process associated with chronic renal failure, collagen vascular diseases, and portal hypertension.

Particularly associated with scleroderma.

Endoscopic examination is similar to those findings in portal hypertension gastropathy.

Treatments include endoscopic coagulation and electrocautery.

Estrogen therapy, progesterone and anti-fibrinolytic drugs such as epsilon amino caproic acid can be tried.

The endoscopic appearance of GAVE is similar to portal hypertensive gastropathy. GAVE is treated with treatment through the endoscope, including argon plasma coagulation and electrocautery. Other medical treatments have been tried and include estrogen and progesterone therapy and anti-fibrinolytic drugs such as tranexamic acid.

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