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胃窦血管扩张症(西瓜胃)——老年人胃肠道出血的一个神秘且常被忽视的原因。

Gastric antral vascular ectasia (watermelon stomach)-an enigmatic and often-overlooked cause of gastrointestinal bleeding in the elderly.

作者信息

Nguyen Hien, Le Connie, Nguyen Hanh

机构信息

Hien Nguyen, MD, is an Internist at the Camp Springs Medical Center in Temple Hills, MD, and an Attending Internist at the Washington Hospital Center in Washington, DC. E-mail:

出版信息

Perm J. 2009 Fall;13(4):46-9. doi: 10.7812/TPP/09-055.

Abstract

Gastric antral vascular ectasia (GAVE) syndrome, also known as watermelon stomach is a significant cause of acute or chronic gastrointestinal blood loss in the elderly. is characterized endoscopically by "watermelon stripes." Without cirrhosis, patients are 71% female, average age 73, presenting with occult blood loss leading to transfusion-dependent chronic iron-deficiency anemia, severe acute upper gastrointestinal bleeding, and nondescript abdominal pain.

摘要

胃窦血管扩张(GAVE)综合征,又称西瓜胃,是老年人急性或慢性胃肠道失血的重要原因。内镜检查特征为“西瓜条纹”。在无肝硬化的情况下,患者中71%为女性,平均年龄73岁,表现为隐匿性失血,导致依赖输血的慢性缺铁性贫血、严重急性上消化道出血和难以描述的腹痛。

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