A case of gastric antral vascular ectasia which overlooked by upper gastrointestinal endoscopy and need a lot of transfusion

Abstract

A 79-year-old woman was transferred to our hospital for scurtiny anemia. Upper gastrointestinal endoscopy revealed no hemorrhagic previous hospital. Bone marrow puncture, computed tomography and colonoscopy were performed in our hospital. But, the cause of anemia was not identified. We performed small bowel capsule endoscopy and diagnosed gastric antral vascular ectasia (GAVE) . It was overlooked in previous hospital. We treated GAVE by argon plasma coagulation. It is important that appropriate timing and sufficient accuracy of endoscopy when treating obscure gastrointestinal bleeding. Furthermore, We must recognize that one of the causes diseases of the digestive tract bleeding.