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Our Blog: The Old Endoscopy Quiz - March 2015

April 1, 2015

The Old Endoscopy Quiz (and Answer) of the Month - March 2015

Question:

Answer:

    GAVE (Gastric Antral Vascular Ectasia), watermelon stomach.


    Gastric Antral Vascular Ectasia
    Gastric Antral Vascular Ectasia (GAVE-syndrome) A gastric condition shere the mucosa especially in the antrum is red and angiomatous because of dilated blood wessels. This condition is also called Watermelon stomach because the gastric mucosa resembles markings on watermelon. Watermelon stomach can cause gastrointestinal bleeding. The cause of this syndrome is not entirely known, but it can be associated with liver cirrhosis. The dilated mucosal blood vessels can be treated by coagulation (for example Argon Plasma Coagulation) endoscopically.

Correct answers were emailed by

    MARCIO PARABOLI, Sao Jose do Rio Preto-SP, BRAZIL
    Dr.Virendra Parikh, Fort Wayne, USA/Indiana
    BUADZE MERAB, TBILISI, Georgia
    Aissaoui Lotfi , Ben Arous, Tunisia
    MARIO GALLUZZI, LECCO, ITALY
    DR ILHAM MRAD, BEN AROUS
    Gabriela Balan, Galati, Romania
    Germán Lloret, Alzira, Spain
    Victor M. Paz Flores, México, D.F.
    Gantos Athanasios, Kozani, Greece
    Marianne Nilsson, Luleå, Sweden
    muhammad, assiut, egypt
    jose garrido, pilar argentina, ARGENTIA
    moataz, cairo, egypt
    mustafa awajdarip, khartoum, Sudan
    Matias Garrido, Buenos Aires, Argentina
    Chrysakopoulos Georgios, Trikala, Greece
    Hnach YOUSSEF, AGADIR, MOROCCO
    adil naseer, abbottabad, pakistan
    Anca Dim, Bucharest, Romania
    Dr.dany hamie, kuwait city, kuwait
    Arsalan Ghawsy, Mazar Sharif, Afghanistan
    Ahmed Khalifa, Werne a d Lippe, Germany

The Skyline of Dar-es-Salaam, in the foreground the Ferry to Kigamboni. Photo taken 2005 by Matthias Krämer. Ferry “Old Kigamboni”, built by NRSW. The ship is scheduled for the end of 2008 to be completely modernized with new propulsion plants and electrical systems. ©
    Douglas Chamshama, Dar es salaam, Tanzania
    Ismail Alkhalil, Almadina, Saudi Arabia
    mohamad ibrahem, sohag, Egypt
    linpaoying, Taipei, Taiwan
    omar mohamed albashir, khartoum, sudan
    Karen stauffer, Monmouth, Illinois USA
    Katerina Klapcic, Pula, Croatia
    zeyad, riyadh, saudi arabi
    F. de Clerck, Bruges, Belgium
    Athanassios Karamountzos, Athens, Greece
    Marcel Cina, Prešov, Slovensko
    Arzu, Baku, Azerbaijan
    ibrahim Afandiyev, Baku, Azerbaijan
    lincoln careca, pelotas, rio grande do sul
    abdullah alyouzbaki, sulaimanyia, iraq
    mai thi minh hue, ha noi, Viet nam
    BUADZE MERAB, TBILISI, Georgia
    Fernando Peres, RIO DE JANEIRO, RIO DE JANEIRO
    belkheir mohamed, oran, algeria
    Abel Debebe, Addis abeba, Ethiopia
    Dr.Ahmed fakhri Omer, Erbil, Kurdistan --iraq
    dr. Myo Min Tun, Yangon, Myanmar
    shahrukh majid,Kirkenes, Norway
    shafqat, lahore, Pakistan

Comments:

If the patient receieved radiotherapy in the past, the diagnosis is radiation induced hemorrhagic gastritis.
Diffuse petichea due to thrombocytopnea or platelet dysfunction or coagulopathy.
Portal hypertensive gastropathy - haemorragic gastropathy.

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April 1, 2015