内視鏡的に進展経過を追跡し得たDiffuse Antral Vascular Ectasiaの1例

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  • An endoscopic Follow-Up Study of the Development of Diffuse Antral Vascular Ectasia.

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A 74-year-old male, who had been treated liver cirrhosis and heart failure due to aortic stenosis (post aortic valve replacement state), was admitted to our hospital because of tarry stools and anemia in July, 1997. On admission, endoscopic examination revealed one eryth-ematous spot showing oozing hemorrhage on the lesser curvature of the antrum of the stomach. In December, 1998, he was readmitted to our hospital with a complaint of melena. Endoscopic examination demonstrated 30 to 40 erythematous spots with oozing hemorrhage distributing in the distal portion of the antrum of the stomach, diagnosed as diffuse antral vascular ectasia (DAVE). In January, 1999, these lesions were diffusely scattered throughout the antrum, and the duodenal bulb. The full picture of DAVE has been observed developing from an erythematous spot of the antrum in about only one and half years in this case.

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