Montero Angel, Fernández-Lizarbe Eva, Rodríguez Miguel-Ángel, Hernanz Raúl, Polo Alfredo, Ramos Alfredo
Radiation Oncology Department, Universitary Hospital Ramón y Cajal, Madrid, Spain.
Gastroenterology Department, Universitary Hospital Ramón y Cajal, Madrid, Spain.
Rep Pract Oncol Radiother. 2012 May 18;17(4):233-6. doi: 10.1016/j.rpor.2012.03.002. eCollection 2012.
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.
胃窦血管扩张症（GAVE）是一种在内镜下易于识别的病症，其特征是存在多个主要位于胃窦的线性血管扩张，具有典型的“西瓜胃”外观。这种情况通常影响老年女性，因慢性胃出血而表现为缺铁性贫血。标准治疗方法是内镜下胃黏膜消融。对于无反应者，根治性手术被认为是一种治愈性治疗方法，但有相当高的发病率和死亡率。放射治疗是许多良性疾病（包括异常血管增生性疾病）的一种众所周知的替代治疗方法，尽管其在GAVE中的作用尚未明确。本病例说明了放射治疗对症状性胃西瓜胃的疗效和耐受性。
