LOCALEZED TELANGIECTASIA OF THE STOMACH-A REPORT OF SEVEN CASES

Abstract

Seven patients with localized telangiectatic lesion of the stomach were found endoscopically during the past 2 years. None of these cases had the evidence of the RenduOsler-Weber syndrome. The age of 7 cases (4 women and 3 men) ranged from 48 to 83 years, with an average of 67 years old. Persistent anemia was observed in 4 cases. Of these, 2 cases have shown recurrent episodes of hematemesis and melena. Two cases were associated with aortic stenosis. Endoscopically solitary lesion was discovered in each case. These lesions were seen as a flat and bright red spot ranged from 3 mm to 7 mm in diameter. Close-up observations of the lesions revealed dilated vascular network. In 4 cases with anemia the lesions were treated with the endoscopic electrocoagulation. There has been no recurrence of G. I. bleeding and anemia after the treatment. These mucosal vascular lesions may be more common than previously realized, and should be considered as one of the causes of G. I. bleeding paticularly in elderly patients.