Rühl G H, Schnabel R, Peiseler M, Seidel D
Department of Pathology, Ruhr University Bochum, Germany.
Z Gastroenterol. 1994 Mar;32(3):160-4.
The diagnosis of gastric antral vascular ectasia (GAVE) was made in a 67 year old patient with a ten year course of the disease, which was characterized by non-ulcerous dyspeptic symptoms in its early phase. The patient was treated successfully by antrectomy. The morphologic findings in the biopsy material ten to eight years before the operation corresponded with those of gastritis type C. The highly characteristic morphologic findings of sinusoidal capillary ectasia and multiple vascular thromboses appeared only in later biopsies taken during the work-up for iron deficiency anemia. The cause of the mucosal alterations was an acquired submucosal vascular anomaly (malformation).
一名67岁、病程长达10年的胃窦血管扩张症（GAVE）患者被确诊，其疾病早期表现为非溃疡性消化不良症状。该患者通过胃窦切除术获得成功治疗。术前10至8年活检材料的形态学表现与C型胃炎相符。仅在后续为缺铁性贫血进行检查时所取的活检中才出现了具有高度特征性的窦状毛细血管扩张和多处血管血栓形成的形态学表现。黏膜改变的原因是后天性黏膜下血管异常（畸形）。
