Gastric Antral Vascular Ectasia

Gastric antral vascular ectasia (GAVE), also known as watermelon stomach, is a rare medical condition in which the lining of the stomach becomes swollen and abnormally dilated. It is typically caused by a combination of factors, including chronic inflammation, aging, and excessive alcohol consumption. As the condition progresses, the stomach lining begins to thin and become fragile, resulting in varying degrees of bleeding. Symptoms of GAVE are typically non-specific, but can include abdominal pain, nausea, vomiting, and black stools. Depending on the severity of the condition, patients may also experience weight loss, anaemia, and fatigue. Diagnosis typically requires an upper endoscopy to examine the stomach lining. Treatment of GAVE usually involves reducing inflammation of the stomach, as well as controlling blood loss. This can be done through medications such as proton pump inhibitors, steroids, and antacids. In some cases, more aggressive treatments such as endoscopic band ligation or argon plasma coagulation may also be used. GAVE is a chronic condition, and patients may experience periods of active disease and remission. It is important for those diagnosed with GAVE to follow their doctor’s instructions and maintain a healthy lifestyle. This includes avoiding alcohol, reducing stress, and eating a balanced diet. In some cases, lifestyle changes alone may be enough to improve symptoms and slow progression of the condition. With proper management and treatment, many people with GAVE can lead active and healthy lives.