GAVE is a condition where blood vessels in the stomach enlarge, causing bleeding. We offer expert diagnosis and treatment.

Gastric Antral Vascular Ectasia Symptoms

Gastric antral vascular ectasia (GAVE) is also known as "watermelon stomach." In GAVE, the blood vessels in the lower part of the stomach (the antrum) become enlarged and prone to bleeding. This can lead to chronic blood loss and anemia.

Signs and symptoms of GAVE include:

  • Chronic fatigue: Due to anemia from ongoing blood loss.
  • Weakness: Feeling weak or tired without any obvious cause.
  • Pale skin: An indication of anemia caused by the loss of blood.
  • Shortness of breath: Especially noticeable during physical activities.
  • Abdominal pain: Discomfort or pain in the stomach area.
  • Visible blood in stool: Stools may appear dark or tarry, indicating bleeding in the stomach.
  • Unexplained weight loss: Losing weight without trying, often due to ongoing blood loss and reduced appetite.

If you experience any of these symptoms, it is important to seek medical attention. With the right medical care, GAVE can be effectively diagnosed and managed.

GAVE Diagnosis at Cape Fear Valley Health

If you need to be assessed for Gastric Antral Vascular Ectasia (GAVE), here’s what you can expect during the diagnostic process:

  • Your doctor will review your medical history and symptoms. Be prepared to discuss any instances of blood in your stool, fatigue, or other related symptoms.
  • Your doctor will perform a physical exam to check for signs of anemia or other related conditions.
  • Blood tests will be conducted to evaluate your hemoglobin levels and check for anemia caused by chronic blood loss.
  • An upper endoscopy is the primary method for diagnosing GAVE:
    • You will be given a sedative to help you relax.
    • A thin, flexible tube with a light and camera (endoscope) is passed down your throat into your stomach.
    • The doctor will examine the lining of your stomach for red, stripe-like lesions, which resemble the stripes on a watermelon.
  • During the endoscopy, the doctor may take small tissue samples (biopsies) from the stomach lining for further examination under a microscope. This helps to confirm the diagnosis of GAVE and rule out other conditions.
  • Additional imaging tests, such as a CT scan or MRI, may be recommended in some cases. These provide a more detailed view of the stomach and surrounding organs.

Based on the results, your doctor will discuss the findings with you and develop a personalized treatment plan. Regular monitoring and follow-up appointments will be scheduled to track your condition and adjust your treatment as needed.

GAVE Treatment at Cape Fear Valley Health

Gastric Antral Vascular Ectasia (GAVE) can be treated. Your options will focus on managing the condition and preventing further bleeding. Here are the common treatment approaches:

Endoscopic Treatments

  • Endoscopic Ablation: Using heat (laser or argon plasma coagulation) to seal off the bleeding blood vessels in the stomach lining.
  • Endoscopic Band Ligation: Small bands are applied to the enlarged blood vessels to stop the bleeding.

Medications

  • Proton Pump Inhibitors (PPIs): Medications to reduce stomach acid and help heal the stomach lining.
  • Iron Supplements: To treat anemia caused by chronic blood loss.
  • Hormonal Therapy: In some cases, medications like octreotide, which reduces blood flow to the stomach lining, may be used.

Lifestyle Changes

  • Dietary Modifications: Avoid foods and medications that irritate the stomach lining and worsen bleeding.
  • Managing Underlying Conditions: If you have associated conditions like liver disease or autoimmune disorders, managing these can help reduce symptoms of GAVE.

Blood Transfusions

  • If you have significant blood loss and anemia, blood transfusions may be needed to restore normal blood levels.

Surgery

  • In severe cases where endoscopic treatments aren’t effective, surgery may be required to remove the affected part of the stomach.

You’ll likely need follow-up endoscopies to monitor the condition and make sure the treatment is effective. Your doctor will schedule these as needed based on your response to treatment.

Why Choose Cape Fear Valley Health for GAVE?

  • Expert Team of Specialists

    CFVH is staffed with highly experienced gastroenterology providers who have extensive expertise in diagnosing and treating GAVE. Their deep knowledge ensures you receive the most accurate diagnosis and effective treatment plans tailored to your needs.

  • Comprehensive Treatment Options

    We offer a range of treatment options for GAVE, from endoscopic ablation and band ligation to surgical interventions if necessary. This comprehensive approach ensures that every patient receives a personalized treatment plan that best suits their condition.