Gastroscopy with argon plasma coagulation of the vascular malformations

This is the case of a 77-year-old woman who had already undergone a gastroscopy because of severe iron deficiency anemia. The examination revealed signs of diffuse gastritis with vascular malformations. Her further prior medical history included a thrombosis of the portal vein that was diagnosed 8 years ago. She presented in the hospital for more comprehensive diagnostics and therapy.
Here, a gastroscopy with argon plasma coagulation of the vascular malformations is presented.

Take home messages:

Watermelon stomach, also called GAVE syndrome, is a potential cause of bleeding frequently misinterpreted as erosive gastritis. GAVE syndrome has been clearly associated with portal hypertension.

Argon plasma coagulation (APC) is effective for local treatment of patients with GAVE-associated anemia. A low-energy output is sufficient for coagulation of superficial angiectasias.