Gastric Antral Vascular Ectasia - Differential Diagnosis

Differential Diagnosis

GAVE results in intestinal bleeding similar to duodenal ulcers and portal hypertension. The GI bleeding can result in anemia, as well as occult blood in the stool. It is often overlooked, but can be more common in elderly patients. It has been seen in patients as young as 38 years of age.

Watermelon stomach has a different etiology and has a differential diagnosis from portal hypertension. In fact, cirrhosis and portal hypertension may be missing in a patient with GAVE. The differential diagnosis is important because treatments are different.

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