Abstract
A 70-year-old woman visited us because of increasing exerticnal dyspnea. Physicalexamination revealed anemic conjunctiva and an emergent blood examination confirmedan extremely low hemogulohin level, 4.6g/dl. She was hospitalized for further evaluation.Atest for occult blood in the feces was positive. Upper gastrointestinal endoscapy revealedlongitudinal red areas radiating to the pyrolic ring in the whole antrum, and a diagnosis ofgastric antral vascular ectasia was made. As treatment, mucosal coagulation therapy byYag laser under gastrofiberscope procedure was instituted. The treatment was repeatedlyperformed at one to two weeks interval. After the sixth session, red mucosal areas almostdisappeared and the hemogloin level was normalized. Any adverse effect did not developedduring the treatment period. Endoscapic mucosal caagulatian using Yag laser was consid-Bred as a useful and safe treatment for the gastric antral vascular ectasia.
