Meroño E, Martín de Argila C, Capela I, García Plaza A
Servicio de Gastroenterología, Hospital Ramón y Cajal, Madrid.
Rev Clin Esp. 1996 May;196(5):302-5.
The watermelon stomach is a vascular malformation at the gastric antrum which is responsible for chronic bleeding. We report here nine patients (5 females and 4 males) referred to our Department from December 1990 to May 1995 with ferropenic anemia resulting from chronic gastrointestinal bleeding and with the diagnosis of watermelon stomach. The mean age at presentation was 52 years (range, 29-80). Seven patients required periodic blood transfusions and the remaining patients therapy with iron compound. All patients were treated with photocoagulation of antral lesions with Nd-YAG laser applied endoscopically. In all patients an almost complete disappearance of endoscopic lesions was achieved and during the 19-month follow-up period (range, 2-54) no patient required blood transfusions or iron therapy. No secondary complications from therapy were noted.
西瓜胃是胃窦部的一种血管畸形，可导致慢性出血。本文报告了1990年12月至1995年5月期间转诊至我科的9例患者（5例女性，4例男性），他们因慢性胃肠道出血导致缺铁性贫血，并被诊断为西瓜胃。就诊时的平均年龄为52岁（范围29 - 80岁）。7例患者需要定期输血，其余患者接受铁剂治疗。所有患者均接受了内镜下应用Nd - YAG激光对胃窦部病变进行光凝治疗。所有患者内镜下病变几乎完全消失，在19个月的随访期（范围2 - 54个月）内，没有患者需要输血或铁剂治疗。未观察到治疗的继发并发症。
