open access

Vol 17, No 4 (2012)
Published online: 2012-07-01
Submitted: 2011-11-17
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External-beam radiotherapy: A realistic therapeutic option for the gastric antral vascular ectasia

Angel Montero, Eva Fernández-Lizarbe, Miguel-Ángel Rodríguez, Raúl Hernanz, Alfredo Polo, Alfredo Ramos
DOI: 10.1016/j.rpor.2012.03.002
·
Rep Pract Oncol Radiother 2012;17(4):233-236.

open access

Vol 17, No 4 (2012)
Published online: 2012-07-01
Submitted: 2011-11-17

Abstract

The gastric antral vascular ectasia (GAVE) is a well recognizable endoscopic entity characterized by the presence of multiple linear angioectatic vessels predominantly located in the antrum, with a typical appearance of “watermelon stomach”. This condition typically affects elderly females presenting as iron-deficiency anaemia due to chronic gastric bleeding. Standard treatment is endoscopic ablation of the gastric mucosa. For non-responders, radical surgery is considered a curative treatment but with considerable morbidity and mortality. Radiation therapy is a well-known alternative for many benign diseases, including anomalous vascular hyperproliferative diseases, although its role has not been defined for GAVE. The present case illustrates the efficacy and tolerance of radiotherapy in the treatment of symptomatic gastric watermelon.

Abstract

The gastric antral vascular ectasia (GAVE) is a well recognizable endoscopic entity characterized by the presence of multiple linear angioectatic vessels predominantly located in the antrum, with a typical appearance of “watermelon stomach”. This condition typically affects elderly females presenting as iron-deficiency anaemia due to chronic gastric bleeding. Standard treatment is endoscopic ablation of the gastric mucosa. For non-responders, radical surgery is considered a curative treatment but with considerable morbidity and mortality. Radiation therapy is a well-known alternative for many benign diseases, including anomalous vascular hyperproliferative diseases, although its role has not been defined for GAVE. The present case illustrates the efficacy and tolerance of radiotherapy in the treatment of symptomatic gastric watermelon.

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Keywords

Radiotherapy; Watermelon; Transfusion requirements; Local control

About this article
Title

External-beam radiotherapy: A realistic therapeutic option for the gastric antral vascular ectasia

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 17, No 4 (2012)

Pages

233-236

Published online

2012-07-01

DOI

10.1016/j.rpor.2012.03.002

Bibliographic record

Rep Pract Oncol Radiother 2012;17(4):233-236.

Keywords

Radiotherapy
Watermelon
Transfusion requirements
Local control

Authors

Angel Montero
Eva Fernández-Lizarbe
Miguel-Ángel Rodríguez
Raúl Hernanz
Alfredo Polo
Alfredo Ramos

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