Endoscopic Ultrasound in the Diagnosis of Watermelon Stomach

Avunduk, Canan; Hampf, Frederick

doi:10.1097/00004836-199603000-00005

Cited by 8 publications

(4 citation statements)

References 13 publications

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“…Endoscopic ultrasound findings have been demonstrated to correlate well with visual appearances, and there is some suggestion that endoscopic ultrasound may be useful in evaluating the completeness of laser ablation treatment of the stomach 15 . There is also evidence that the endoscopic ultrasound appearance of a thickened antral wall with spongy mucosa and submucosa may aid in distinguishing between gastric antral vascular ectasia and portal hypertensive gastropathy, where the gastric wall is diffusely thickened with evidence of dilated veins 16 …”

Section: Clinical Presentation and Diagnosismentioning

confidence: 99%

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Current therapeutic options for gastric antral vascular ectasia

Sebastian

O’Moráin

Buckley

2003

Aliment Pharmacol Ther

115

105

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Summary Gastric antral vascular ectasia, or ‘watermelon stomach’, is a rare but important cause of gastrointestinal blood loss and anaemia, which has characteristic endoscopic and histological features. The pathogenesis of this condition remains unclear; however, many associated disorders have been documented. Various medical, surgical and endoscopic therapeutic modalities have been attempted with variable success. Leading contenders for the therapeutic modality of choice include hormonal therapy, endoscopic Nd:YAG laser and argon plasma coagulation. Randomized controlled trials to identify the ideal treatment method are lacking at present.

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Section: Clinical Presentation and Diagnosismentioning

confidence: 99%

“…15 There is also evidence that the endoscopic ultrasound appearance of a thickened antral wall with spongy mucosa and submucosa may aid in distinguishing between gastric antral vascular ectasia and portal hypertensive gastropathy, where the gastric wall is diffusely thickened with evidence of dilated veins. 16…”

Section: Clinical Presentation and Diagnosismentioning

confidence: 99%

Current therapeutic options for gastric antral vascular ectasia

Sebastian

O’Moráin

Buckley

2003

Aliment Pharmacol Ther

115

105

View full text Add to dashboard Cite

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“…In a small case series, EUS was used to diagnose watermelon stomach in patients with portal hyper− tension. EUS allowed precise documentation and localization of ectatic intramural vessels in the mucosa and submucosa, which appeared as distinct echo−poor vascular structures in the sub− mucosa and the mucosa [30].…”

Section: Eus and Study Of Gastric Mucosal Changesmentioning

confidence: 99%

EUS for portal hypertension: a comprehensive and critical appraisal of clinical and experimental indications

Elsaadany¹,

Jalil²,

Irisawa³

et al. 2008

Endoscopy

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Endoscopic ultrasonography (EUS) has significantly improved our understanding of the complex vascular structural changes that occur in portal hypertension and their clinical and prognostic significance. EUS in combination with color Doppler technique enables us to study the hemodynamic changes in the portal venous system noninvasively, and to determine objectively the effect of different pharmacological agents on portal hypertension. EUS has also found some role in the treatment and follow up of esophageal and gastric varices. It may play a clinical role in the diagnosis of gastric, duodenal, and rectal varices. Recently reported EUS-based devices that measure variceal wall tension and intravariceal pressure noninvasively could have an impact on the identification of patients at high risk of variceal bleeding with the aim of initiating prophylactic treatment, and in the assessment of patients' responses to drug therapy of portal hypertension. EUS is occasionally very helpful in the clinical management of portal hypertension. It is an interesting and important research tool for many experimental indications that are not routinely applied in clinical practice at this time.

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“…EUS-Doppler can also substantiate diagnosis of portal gastropathy, showing diffuse thickening of the gastric wall with dilated paragastric veins 6 95 , thereby distinguishing it from watermelon stomach , which is characterized by focal swelling and spongy appearance in mucosa and submucosa 96 97 . It is also valuable in differential diagnosis of giant gastric folds 98 99 , distinguishing benign causes, such as gastric varices, from malignant causes.…”

Section: Introductionmentioning

confidence: 99%

The role of EUS in diagnosis and treatment of liver disorders

et al. 2019

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Background and aim Transabdominal ultrasound (US), computed tomographic scanning (CT) and magnetic resonance imaging (MRI) are established diagnostic tools for liver diseases. Percutaneous transhepatic cholangiography is used to perform hepatic interventional procedures including biopsy, biliary drainage procedures, and radiofrequency ablation. Despite their widespread use, these techniques have limitations. Endoscopic ultrasound (EUS), a tool that has proven useful for evaluating the mediastinum, esophagus, stomach, pancreas, and biliary tract, has an expanding role in the field of hepatology complementing the traditional investigational modalities. This review aimed to assess the current scientific evidence regarding diagnostic and therapeutic applications of EUS for hepatic diseases.

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Endoscopic Ultrasound in the Diagnosis of Watermelon Stomach

Abstract: We describe three cases of watermelon stomach in which the endoscopic appearance suggested the diagnosis, which was confirmed by histologic examination. The diagnosis was further substantiated by endoscopic ultrasound imaging.

Cited by 8 publications

References 13 publications

Current therapeutic options for gastric antral vascular ectasia

Current therapeutic options for gastric antral vascular ectasia

EUS for portal hypertension: a comprehensive and critical appraisal of clinical and experimental indications

The role of EUS in diagnosis and treatment of liver disorders

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