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Gastric antral vascular ectasia

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modalities have been used in GAVE patients with another underlying disease rather than SSc; they are included as they may be tried in resistant SSc-GAVE patients. Symptomatic treatment includes iron supplementation and blood transfusion for cases with severe anemia, proton pump inhibitors may ameliorate the background chronic gastritis and minute erosions that commonly co-existed in biopsy reports.
207: 492:. TIPSS-related encephalopathy occurs in about 30% of cases, with the risk being higher in those with previous episodes of encephalopathy, higher age, female sex, and liver disease due to causes other than alcohol. The patient, with their physician and family, must balance out a reduction in bleeding caused by TIPS with the significant risk of 616:
The average age of diagnosis for GAVE is 73 years of age for females, and 68 for males. Women are about twice as often diagnosed with gastric antral vascular ectasia than men. 71% of all cases of GAVE are diagnosed in females. Patients in their thirties have been found to have GAVE. It becomes more
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because of its low side effects and low mortality, but is "rarely curative." Treatment of GAVE can be categorized into endoscopic, surgical and pharmacologic. Surgical treatment is definitive but it is rarely done nowadays with the variety of treatment options available. Some of the discussed
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Most patients with GAVE suffer from liver cirrhosis, autoimmune disease, chronic kidney failure and bone marrow transplantation. The typical initial presentations range from occult bleeding causing transfusion-dependent chronic iron-deficiency anemia to severe acute gastrointestinal
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and electrocautery. Since endoscopy with argon photocoagulation is "usually effective", surgery is "usually not required". Coagulation therapy is well tolerated but "tends to induce oozing and bleeding." "Endoscopy with thermal ablation" is favored
1955: 1940: 488:(TIPS or TIPSS) procedure is used to treat portal hypertension when that is present as an associated condition. Unfortunately, the TIPSS, which has been used for similar conditions, may cause or exacerbate 244:, and especially the subtype known as systemic sclerosis. A full 5.7% of persons with sclerosis have GAVE, and 25% of all sclerosis patients who had a certain anti-RNA polymerase marker have GAVE. In fact: 193:
Autoimmunity may have something to do with it, as 25% of all sclerosis patients who had a certain anti-RNA marker have GAVE. RNA autoimmunity has been suspected as a cause or marker since at least 1996.
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Wells, C; Harrison, M; Gurudu, S; Crowell, M; Byrne, T; Depetris, G; Sharma, V (2008). "Treatment of gastric antral vascular ectasia (watermelon stomach) with endoscopic band ligation".
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Tuveri, Massimiliano; Borsezio, Valentina; Gabbas, Antonio; Mura, Guendalina (2007). "Gastric antral vascular ectasia—an unusual cause of gastric outlet obstruction: report of a case".
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El-Gendy, Hala; Shohdy, Kyrillus S.; Maghraby, Gehad G.; Abadeer, Kerolos; Mahmoud, Moustafa (2017-02-01). "Gastric antral vascular ectasia in systemic sclerosis: Where do we stand?".
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from portal hypertension. In fact, cirrhosis and portal hypertension may be missing in a patient with GAVE. The differential diagnosis is important because treatments are different.
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Gilliam, John H.; Geisinger, Kim R.; Wu, Wallace C.; Weidner, Noel; Richter, Joel E. (1989). "Endoscopic biopsy is diagnostic in gastric antral vascular ectasia".
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is one of the conditions associated with GAVE, and one separate study showed that over three-fourths of the patients in the study with GAVE had some kind of
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Suit, PF; Petras, RE; Bauer, TW; Petrini Jr, JL (1987). "Gastric antral vascular ectasia. A histologic and morphometric study of "the watermelon stomach"".
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Sherman, V; Klassen, DR; Feldman, LS; Jabbari, M; Marcus, V; Fried, GM (2003). "Laparoscopic antrectomy: a novel approach to treating watermelon stomach".
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Khan S, Tudur Smith C, Williamson P, Sutton R (2006). "Portosystemic shunts versus endoscopic therapy for variceal rebleeding in patients with cirrhosis".
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Marie, I.; Ducrotte, P.; Antonietti, M.; Herve, S.; Levesque, H. (2008). "Watermelon stomach in systemic sclerosis: its incidence and management".
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The literature, from 1953 through 2010, often cited that the cause of gastric antral vascular ectasia is unknown. The causal connection between
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only in 1984. As of 2011, the cause and pathogenesis are still not known. However, there are several competing hypotheses as to various causes.
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Krstić, M; Alempijević, T; Andrejević, S; Zlatanović, M; Damjanov, N; Ivanović, B; Jovanović, I; Tarabar, D; Milosavljević, T (2010).
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The condition was first discovered in 1952, and reported in the literature in 1953. Watermelon disease was first diagnosed by Wheeler
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Thonhofer, R; Siegel, C; Trummer, M; Gugl, A (2010). "Clinical images: Gastric antral vascular ectasia in systemic sclerosis".
426:. It is often overlooked, but can be more common in elderly patients. It has been seen in a female patient of 26 years of age. 264: 2282: 3011: 2967: 2861: 2683: 846:
Rider, JA; Klotz, AP; Kirsner, JB (1953). "Gastritis with veno-capillary ectasia as a source of massive gastric hemorrhage".
3222: 1108:"Anti-RNA polymerase III antibodies as a risk marker for early gastric antral vascular ectasia (GAVE) in systemic sclerosis" 39: 3068: 1711:
Saab S, Nieto JM, Lewis SK, Runyon BA (2006). "TIPS versus paracentesis for cirrhotic patients with refractory ascites".
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of 22 studies to be effective treatment to reduce variceal bleeding, yet none have any demonstrated survival advantage.
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Shibukawa, G; Irisawa, A; Sakamoto, N; Takagi, T; Wakatsuki, T; Imamura, H; Takahashi, Y; Sato, A; et al. (2007).
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Spahr, L; Villeneuve, J-P; Dufresne, M-P; Tasse, D; Bui, B; Willems, B; Fenyves, D; Pomier-Layrargues, G (1999).
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Spahr, L; Villeneuve, JP; Dufresne, MP; Tassé, D; Bui, B; Willems, B; Fenyves, D; Pomier-Layrargues, G (1999).
799: 447: 55: 2094: 567:, is another option. Antrectomy is "the resection, or surgical removal, of a part of the stomach known as the 274: 1050:"A nucleolar RNA helicase recognized by autoimmune antibodies from a patient with watermelon stomach disease" 3101: 2878: 2619: 2411: 2070: 533:" may be used effectively to treat the encephalopathy by removing nitrogen-producing bacteria from the gut. 309: 3181: 2905: 2888: 2298: 2272: 2148: 2099: 2060: 2038: 2030: 513: 489: 430: 299: 268: 230: 112: 3113: 3021: 2982: 2910: 1165:
Komiyama, Masae; Fu, K; Morimoto, T; Konuma, H; Yamagata, T; Izumi, Y; Miyazaki, A; Watanabe, S (2010).
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Valdez, BC; Henning, D; Busch, RK; Woods, K; Flores-Rozas, H; Hurwitz, J; Perlaky, L; Busch, H (1996).
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Most patients who are eventually diagnosed with watermelon stomach come to a physician complaining of
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Sundaram V, Shaikh OS (July 2009). "Hepatic encephalopathy: pathophysiology and emerging therapies".
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is possible in some cases, and as of 2003, was a "novel approach to treating watermelon stomach".
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of gastric antral vascular ectasia". The experimental procedure resulted in "no complications".
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5.7% of all sclerosis patients (and 25% of those who had a certain anti-RNA marker) have GAVE.
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may be needed to diagnose some cases, especially if the liver or other organs are involved.
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because streaky long red areas that are present in the stomach may resemble the markings on
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common in women in their eighties, rising to 4% of all such gastrointestinal conditions.
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Relapse is possible, even after treatment by argon plasma coagulation and progesterone.
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showing gastric antral vascular ectasia. A large spherical, eosinophilic (i.e. pink)
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for such cases. This procedure uses a large needle, similar to the better-known
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image of gastric antral vascular ectasia seen as a radial pattern around the
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Surgery, consisting of excision of part of the lower stomach, also called
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biopsy. The tell-tale watermelon stripes show up during the endoscopy.
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in 1979, and definitively described in four living patients by Jabbari
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The Genetic and Rare Diseases Information Center (GARD) states that
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Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
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In 2010, a team of Japanese surgeons performed a "novel endoscopic
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Intestinal bleeding due to widening of blood vessels in the stomach
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Ingraham, KM; O'Brien, MS; Shenin, M; Derk, CT; Steen, VD (2010).
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therapy, Corticostreoids are effective, but are "limited by their
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Antrectomy or other surgery is used as a last resort for GAVE.
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Ceribelli, A; Cavazzana, I; Airò, P; Franceschini, F (2010).
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may be prescribed for hepatic encephalopathy, especially for
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GAVE is treated commonly by means of an endoscope, including
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Yildiz, Baris; Sokmensuer, Cenk; Kaynaroglu, Volkan (2010).
267:, but is not the same condition, and may be concurrent with 271:. 30% of all patients have cirrhosis associated with GAVE. 503:
If there is cirrhosis of the liver that has progressed to
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GAVE is associated with a number of conditions, including
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associated with watermelon stomach was reported in 2010.
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A treatment used sometimes is endoscopic band ligation.
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Watermelon stomach has a different etiology and has a
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GAVE is usually diagnosed definitively by means of an
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including the associated condition pernicious anemia.
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Other medical treatments have been tried and include
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because he or she notices blood in the stools—either
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and blood loss. Sometimes, a patient may come to the
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GAVE is characterized by dilated capillaries in the
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Genetic and Rare Diseases Information Center (GARD)
1214: 1212: 81: 61: 29: 24: 343:, which is often apparent from clinical findings. 240:Watermelon stomach also occurs particularly with 706:Surgery Encyclopedia website page on Antrectomy 263:The endoscopic appearance of GAVE is similar to 731:Nguyen, Hien; Le, Connie; Nguyen, Hanh (2009). 414:GAVE results in intestinal bleeding similar to 277:has been associated with at least one patient. 246: 54:before (top) and after (bottom) treatment with 1552:"Watermelon Stomach and Radiiation Proctopathy 2014: 701: 486:transjugular intrahepatic portosystemic shunt 8: 2120:Esophagogastric junction outflow obstruction 1435: 1433: 1431: 699: 697: 695: 693: 691: 689: 687: 685: 683: 681: 1817:Journal of the American College of Surgeons 1758: 1756: 1754: 1752: 1713:The Cochrane Database of Systematic Reviews 1663:The Cochrane Database of Systematic Reviews 1221:International Journal of Rheumatic Diseases 1171:World Journal of Gastrointestinal Endoscopy 1160: 1158: 1156: 1154: 1152: 1150: 1148: 1146: 198:levels may indicate a hormonal connection. 3140: 2791: 2307: 2159:Esophageal intramural pseudodiverticulosis 2043: 2021: 2007: 1999: 1923: 1610: 1608: 1606: 1291:Alimentary Pharmacology & Therapeutics 913: 911: 909: 907: 905: 903: 901: 899: 897: 795:"Chronic anemia due to watermelon stomach" 644:The American Journal of Surgical Pathology 190:disease has been suspected in some cases. 72: 38: 21: 1732: 1682: 1632: 1506: 1465: 1411: 1381: 1379: 1377: 1349: 1192: 1182: 1126: 1073: 1021: 1011: 895: 893: 891: 889: 887: 885: 883: 881: 879: 877: 822: 812: 788: 786: 784: 782: 780: 778: 776: 756: 989: 987: 985: 983: 981: 979: 977: 1706: 1704: 1702: 1656: 1654: 1652: 975: 973: 971: 969: 967: 965: 963: 961: 959: 957: 726: 724: 722: 720: 718: 716: 714: 629: 543:, may be used to remove fluid from the 496:. Various shunts have been shown in a 1101: 1099: 1097: 1095: 1093: 316:may occur in some patients with GAVE. 33:Watermelon stomach, watermelon disease 2387:Small intestinal bacterial overgrowth 1043: 1041: 637: 635: 633: 346:Research in 2010 has shown that anti- 287:Patients with GAVE may have elevated 7: 1000:Canadian Journal of Gastroenterology 115:. The condition is associated with 107:) is an uncommon cause of chronic 14: 3272:Spontaneous bacterial peritonitis 3119:Exocrine pancreatic insufficiency 1542:, National Institution of Health. 480:Treatment of co-morbid conditions 3017:Secondary sclerosing cholangitis 1634:10.2169/internalmedicine.46.6203 1621:Internal Medicine (Tokyo, Japan) 1303:10.1111/j.1365-2036.2008.03739.x 656:10.1097/00000478-198710000-00002 422:. The GI bleeding can result in 350:III antibodies may be used as a 186:and GAVE has not been proven. A 170:(black and tarry stools) and/or 127:, which is a distal part of the 2258:Gastric antral vascular ectasia 2253:Portal hypertensive gastropathy 2130:Gastroesophageal reflux disease 1569:Digestive Diseases and Sciences 1270:Scleroderma Association website 708:. Accessed September 29, 2010. 265:portal hypertensive gastropathy 101:Gastric antral vascular ectasia 90:in the stomach and intestines, 25:Gastric antral vascular ectasia 3012:Primary sclerosing cholangitis 2862:Hepatic veno-occlusive disease 2684:Solitary rectal ulcer syndrome 1725:10.1002/14651858.CD004889.pub2 1675:10.1002/14651858.CD000553.pub2 1279:. Accessed September 29, 2010. 994:Rosenfeld, G; Enns, R (2009). 521:. Also, "antibiotics such as 1: 3069:Sphincter of Oddi dysfunction 1829:10.1016/S1072-7515(03)00600-8 860:10.1016/S0016-5085(53)80070-3 2978:Postcholecystectomy syndrome 2497:Intestinal pseudoobstruction 2105:Esophageal motility disorder 1803:Dorland's Medical Dictionary 402:Surgical exploration of the 1338:The Journal of Rheumatology 1115:The Journal of Rheumatology 3330: 2963:Gallstone / Cholelithiasis 2487:Functional colonic disease 2283:Zollinger–Ellison syndrome 1852:Gastrointestinal Endoscopy 1777:10.1016/j.mcna.2009.03.009 599:Excessive citations inline 380:is seen off-center right. 339:differential diagnosis is 235:collagen vascular diseases 2164:Acute esophageal necrosis 1864:10.1016/j.gie.2008.02.021 932:10.1007/s00595-006-3430-3 109:gastrointestinal bleeding 46: 37: 2263:Gastric dumping syndrome 2138:Laryngopharyngeal reflux 2125:Diffuse esophageal spasm 1891:Arthritis and Rheumatism 800:Annals of Saudi Medicine 448:argon plasma coagulation 56:argon plasma coagulation 2879:Alcoholic liver disease 2412:Bile acid malabsorption 2356:Peptic (duodenal) ulcer 1233:10.1111/1756-185X.13047 814:10.4103/0256-4947.60524 604:considered for deletion 310:Intestinal permeability 94:, dilated blood vessels 2889:Hepatic encephalopathy 2273:Buried bumper syndrome 2204:Peptic (gastric) ulcer 2088:Mallory–Weiss syndrome 2031:human digestive system 1184:10.4253/wjge.v2.i8.298 1054:Nucleic Acids Research 737:The Permanente Journal 490:hepatic encephalopathy 442:Traditional treatments 431:differential diagnosis 410:Differential diagnosis 392: 269:cirrhosis of the liver 261: 231:chronic kidney failure 222: 113:iron deficiency anemia 3114:Pancreatic pseudocyst 2983:Porcelain gallbladder 2095:Zenker's diverticulum 1351:10.3899/jrheum.090600 1128:10.3899/jrheum.100124 1066:10.1093/nar/24.7.1220 514:Type C encephalopathy 369: 209: 202:Associated conditions 174:(red bloody stools). 2918:Hepatorenal syndrome 2857:Budd–Chiari syndrome 2814:Autoimmune hepatitis 2639:Intestinal adhesions 2397:Short bowel syndrome 2226:Functional dyspepsia 2144:Esophageal stricture 2110:Nutcracker esophagus 1530:"Watermelon Stomach" 1458:10.1136/gut.44.5.739 1404:10.1136/gut.44.5.739 573:Laparoscopic surgery 3057:Choledocholithiasis 2928:Metabolic disorders 2894:Acute liver failure 2867:Portal hypertension 2819:Alcoholic hepatitis 2662:Radiation proctitis 2581:Mesenteric ischemia 2553:Gastroenterocolitis 2382:Blind loop syndrome 2192:MĂ©nĂ©trier's disease 2100:Barrett's esophagus 1765:Med. Clin. North Am 1508:10.2298/VSP1003256K 1013:10.1155/2009/374138 420:portal hypertension 341:portal hypertension 227:portal hypertension 3232:Undefined location 3223:Grynfeltt–Lesshaft 3124:Pancreatic fistula 3107:Pancreatic abscess 3062:Biliary dyskinesia 3033:Mirizzi's syndrome 2534:Large and/or small 2214:Dieulafoy's lesion 2083:Boerhaave syndrome 1771:(4): 819–36, vii. 1581:10.1007/BF01540274 1535:2012-01-01 at the 1275:2015-05-07 at the 749:10.7812/TPP/09-055 393: 356:systemic sclerosis 280:The first case of 275:Sjögren's syndrome 223: 154:Signs and symptoms 133:watermelon stomach 3314:Diseases of liver 3309:Stomach disorders 3296: 3295: 3292: 3291: 3132: 3131: 2734: 2733: 2591:Bowel obstruction 2293: 2292: 1996: 1995: 1903:10.1002/art.27185 1227:(12): 2133–2139. 545:peritoneal cavity 453:medical treatment 296:pernicious anemia 188:connective tissue 98: 97: 19:Medical condition 3321: 3284:Pneumoperitoneum 3141: 3051:Common bile duct 2933:Wilson's disease 2923:Peliosis hepatis 2792: 2669:Proctalgia fugax 2576:Abdominal angina 2501:Ogilvie syndrome 2450:Pseudomembranous 2308: 2268:Gastric volvulus 2233:Pyloric stenosis 2044: 2029:Diseases of the 2023: 2016: 2009: 2000: 1924: 1914: 1876: 1875: 1847: 1841: 1840: 1812: 1806: 1795: 1789: 1788: 1760: 1747: 1746: 1736: 1708: 1697: 1696: 1686: 1658: 1647: 1646: 1636: 1612: 1601: 1600: 1564: 1558: 1557:, August 1, 2011 1549: 1543: 1527: 1521: 1520: 1510: 1486: 1480: 1479: 1469: 1437: 1426: 1425: 1415: 1383: 1372: 1371: 1353: 1329: 1323: 1322: 1286: 1280: 1267: 1261: 1260: 1216: 1207: 1206: 1196: 1186: 1162: 1141: 1140: 1130: 1112: 1103: 1088: 1087: 1077: 1045: 1036: 1035: 1025: 1015: 991: 952: 951: 915: 872: 871: 848:Gastroenterology 843: 837: 836: 826: 816: 790: 771: 770: 760: 728: 709: 703: 676: 675: 639: 607: 337:histomorphologic 282:ectopic pancreas 259: 254:Masae Komiyama, 77: 76: 68:Gastroenterology 42: 22: 3329: 3328: 3324: 3323: 3322: 3320: 3319: 3318: 3299: 3298: 3297: 3288: 3253: 3242:Internal hernia 3128: 3073: 3038:Biliary fistula 2996: 2987: 2973:Adenomyomatosis 2968:Cholesterolosis 2944: 2938:Hemochromatosis 2809:Viral hepatitis 2781: 2730: 2688: 2674:Rectal prolapse 2643: 2610:Fecal impaction 2600:Intussusception 2563:Crohn's disease 2529: 2512:Toxic megacolon 2424: 2422:Large intestine 2416: 2361:Curling's ulcer 2314: 2312:Small intestine 2301: 2289: 2197:Gastroenteritis 2168: 2033: 2027: 1997: 1992: 1991: 1935: 1921: 1888: 1885: 1883:Further reading 1880: 1879: 1849: 1848: 1844: 1814: 1813: 1809: 1796: 1792: 1762: 1761: 1750: 1719:(4): CD004889. 1710: 1709: 1700: 1669:(4): CD000553. 1660: 1659: 1650: 1614: 1613: 1604: 1566: 1565: 1561: 1550: 1546: 1537:Wayback Machine 1528: 1524: 1488: 1487: 1483: 1439: 1438: 1429: 1385: 1384: 1375: 1331: 1330: 1326: 1288: 1287: 1283: 1277:Wayback Machine 1268: 1264: 1218: 1217: 1210: 1164: 1163: 1144: 1110: 1105: 1104: 1091: 1047: 1046: 1039: 993: 992: 955: 917: 916: 875: 845: 844: 840: 792: 791: 774: 730: 729: 712: 704: 679: 641: 640: 631: 626: 614: 592: 561: 482: 462: 444: 439: 416:duodenal ulcers 412: 364: 322: 303: 260: 253: 219:Trichrome stain 204: 180: 156: 125:gastric antrum 71: 20: 17: 12: 11: 5: 3327: 3325: 3317: 3316: 3311: 3301: 3300: 3294: 3293: 3290: 3289: 3287: 3286: 3281: 3279:Hemoperitoneum 3276: 3275: 3274: 3263: 3261: 3255: 3254: 3252: 3251: 3250: 3249: 3244: 3239: 3228: 3227: 3226: 3225: 3220: 3207: 3206: 3201: 3196: 3191: 3186: 3185: 3184: 3179: 3168: 3167: 3162: 3161: 3160: 3149: 3147: 3138: 3134: 3133: 3130: 3129: 3127: 3126: 3121: 3116: 3111: 3110: 3109: 3104: 3099: 3094: 3083: 3081: 3075: 3074: 3072: 3071: 3066: 3065: 3064: 3059: 3046: 3045: 3040: 3035: 3026: 3025: 3024: 3019: 3014: 3003: 3001: 2989: 2988: 2986: 2985: 2980: 2975: 2970: 2965: 2960: 2954: 2952: 2946: 2945: 2943: 2942: 2941: 2940: 2935: 2925: 2920: 2915: 2914: 2913: 2908: 2898: 2897: 2896: 2891: 2881: 2876: 2875: 2874: 2869: 2864: 2859: 2847: 2846: 2845: 2835: 2834: 2833: 2823: 2822: 2821: 2816: 2811: 2800: 2798: 2789: 2783: 2782: 2780: 2779: 2778: 2777: 2767: 2766: 2765: 2760: 2750: 2748:Blood in stool 2744: 2742: 2736: 2735: 2732: 2731: 2729: 2728: 2723: 2721:Anal dysplasia 2718: 2713: 2708: 2698: 2696: 2690: 2689: 2687: 2686: 2681: 2676: 2671: 2666: 2665: 2664: 2653: 2651: 2645: 2644: 2642: 2641: 2636: 2635: 2634: 2624: 2623: 2622: 2612: 2607: 2602: 2597: 2588: 2586:Angiodysplasia 2583: 2578: 2567: 2566: 2565: 2555: 2550: 2549: 2548: 2537: 2535: 2531: 2530: 2528: 2527: 2521:Diverticulosis 2517:Diverticulitis 2514: 2505: 2504: 2503: 2494: 2484: 2479: 2478: 2477: 2472: 2467: 2462: 2457: 2452: 2442: 2436: 2434: 2418: 2417: 2415: 2414: 2409: 2407:Milroy disease 2404: 2399: 2394: 2389: 2384: 2379: 2377:Tropical sprue 2374: 2365: 2364: 2363: 2353: 2352: 2351: 2346: 2341: 2330: 2328: 2305: 2299:Lower GI tract 2295: 2294: 2291: 2290: 2288: 2287: 2286: 2285: 2275: 2270: 2265: 2260: 2255: 2250: 2245: 2240: 2235: 2230: 2229: 2228: 2218: 2217: 2216: 2211: 2201: 2200: 2199: 2194: 2189: 2178: 2176: 2170: 2169: 2167: 2166: 2161: 2156: 2151: 2146: 2141: 2135: 2134: 2133: 2127: 2122: 2117: 2112: 2102: 2097: 2092: 2091: 2090: 2085: 2075: 2074: 2073: 2068: 2063: 2052: 2050: 2041: 2039:Upper GI tract 2035: 2034: 2028: 2026: 2025: 2018: 2011: 2003: 1994: 1993: 1990: 1989: 1978: 1967: 1952: 1936: 1931: 1930: 1928: 1927:Classification 1920: 1919:External links 1917: 1916: 1915: 1884: 1881: 1878: 1877: 1842: 1807: 1798:"paracentesis" 1790: 1748: 1698: 1648: 1602: 1559: 1555:CCS Publishing 1544: 1522: 1481: 1427: 1373: 1324: 1297:(4): 412–421. 1281: 1262: 1208: 1177:(8): 298–300. 1142: 1089: 1037: 953: 873: 838: 772: 710: 677: 628: 627: 625: 622: 613: 610: 560: 557: 494:encephalopathy 481: 478: 461: 458: 443: 440: 438: 435: 411: 408: 363: 360: 348:RNA polymerase 326:lamina propria 321: 318: 314:diverticulitis 301: 251: 213:showing liver 203: 200: 179: 176: 155: 152: 96: 95: 85: 79: 78: 65: 59: 58: 44: 43: 35: 34: 31: 27: 26: 18: 15: 13: 10: 9: 6: 4: 3: 2: 3326: 3315: 3312: 3310: 3307: 3306: 3304: 3285: 3282: 3280: 3277: 3273: 3270: 3269: 3268: 3265: 3264: 3262: 3260: 3256: 3248: 3245: 3243: 3240: 3238: 3235: 3234: 3233: 3230: 3229: 3224: 3221: 3219: 3216: 3215: 3214: 3213: 3209: 3208: 3205: 3202: 3200: 3197: 3195: 3192: 3190: 3187: 3183: 3180: 3178: 3175: 3174: 3173: 3170: 3169: 3166: 3163: 3159: 3156: 3155: 3154: 3153:Diaphragmatic 3151: 3150: 3148: 3146: 3142: 3139: 3135: 3125: 3122: 3120: 3117: 3115: 3112: 3108: 3105: 3103: 3100: 3098: 3095: 3093: 3090: 3089: 3088: 3085: 3084: 3082: 3080: 3076: 3070: 3067: 3063: 3060: 3058: 3055: 3054: 3053: 3052: 3048: 3047: 3044: 3041: 3039: 3036: 3034: 3030: 3027: 3023: 3020: 3018: 3015: 3013: 3010: 3009: 3008: 3005: 3004: 3002: 3000: 2994: 2990: 2984: 2981: 2979: 2976: 2974: 2971: 2969: 2966: 2964: 2961: 2959: 2958:Cholecystitis 2956: 2955: 2953: 2951: 2947: 2939: 2936: 2934: 2931: 2930: 2929: 2926: 2924: 2921: 2919: 2916: 2912: 2909: 2907: 2904: 2903: 2902: 2901:Liver abscess 2899: 2895: 2892: 2890: 2887: 2886: 2885: 2884:Liver failure 2882: 2880: 2877: 2873: 2870: 2868: 2865: 2863: 2860: 2858: 2855: 2854: 2853: 2852: 2848: 2844: 2841: 2840: 2839: 2836: 2832: 2829: 2828: 2827: 2824: 2820: 2817: 2815: 2812: 2810: 2807: 2806: 2805: 2802: 2801: 2799: 2797: 2793: 2790: 2788: 2784: 2776: 2773: 2772: 2771: 2768: 2764: 2761: 2759: 2756: 2755: 2754: 2751: 2749: 2746: 2745: 2743: 2741: 2737: 2727: 2724: 2722: 2719: 2717: 2714: 2712: 2709: 2707: 2703: 2700: 2699: 2697: 2695: 2691: 2685: 2682: 2680: 2677: 2675: 2672: 2670: 2667: 2663: 2660: 2659: 2658: 2655: 2654: 2652: 2650: 2646: 2640: 2637: 2633: 2630: 2629: 2628: 2625: 2621: 2618: 2617: 2616: 2613: 2611: 2608: 2606: 2603: 2601: 2598: 2596: 2592: 2589: 2587: 2584: 2582: 2579: 2577: 2573: 2572: 2568: 2564: 2561: 2560: 2559: 2556: 2554: 2551: 2547: 2544: 2543: 2542: 2541:Enterocolitis 2539: 2538: 2536: 2532: 2526: 2522: 2518: 2515: 2513: 2509: 2506: 2502: 2498: 2495: 2493: 2490: 2489: 2488: 2485: 2483: 2480: 2476: 2473: 2471: 2468: 2466: 2463: 2461: 2458: 2456: 2453: 2451: 2448: 2447: 2446: 2443: 2441: 2438: 2437: 2435: 2432: 2428: 2423: 2419: 2413: 2410: 2408: 2405: 2403: 2400: 2398: 2395: 2393: 2390: 2388: 2385: 2383: 2380: 2378: 2375: 2373: 2369: 2368:Malabsorption 2366: 2362: 2359: 2358: 2357: 2354: 2350: 2347: 2345: 2342: 2340: 2337: 2336: 2335: 2332: 2331: 2329: 2326: 2322: 2318: 2313: 2309: 2306: 2304: 2300: 2296: 2284: 2281: 2280: 2279: 2276: 2274: 2271: 2269: 2266: 2264: 2261: 2259: 2256: 2254: 2251: 2249: 2246: 2244: 2243:Gastroparesis 2241: 2239: 2236: 2234: 2231: 2227: 2224: 2223: 2222: 2219: 2215: 2212: 2210: 2209:Cushing ulcer 2207: 2206: 2205: 2202: 2198: 2195: 2193: 2190: 2188: 2185: 2184: 2183: 2180: 2179: 2177: 2175: 2171: 2165: 2162: 2160: 2157: 2155: 2154:Megaesophagus 2152: 2150: 2147: 2145: 2142: 2139: 2136: 2131: 2128: 2126: 2123: 2121: 2118: 2116: 2113: 2111: 2108: 2107: 2106: 2103: 2101: 2098: 2096: 2093: 2089: 2086: 2084: 2081: 2080: 2079: 2076: 2072: 2069: 2067: 2064: 2062: 2059: 2058: 2057: 2054: 2053: 2051: 2049: 2045: 2042: 2040: 2036: 2032: 2024: 2019: 2017: 2012: 2010: 2005: 2004: 2001: 1988: 1984: 1983: 1979: 1977: 1973: 1972: 1968: 1966: 1962: 1961: 1957: 1953: 1951: 1947: 1946: 1942: 1938: 1937: 1934: 1929: 1925: 1918: 1912: 1908: 1904: 1900: 1896: 1892: 1887: 1886: 1882: 1873: 1869: 1865: 1861: 1857: 1853: 1846: 1843: 1838: 1834: 1830: 1826: 1822: 1818: 1811: 1808: 1805: 1804: 1799: 1794: 1791: 1786: 1782: 1778: 1774: 1770: 1766: 1759: 1757: 1755: 1753: 1749: 1744: 1740: 1735: 1730: 1726: 1722: 1718: 1714: 1707: 1705: 1703: 1699: 1694: 1690: 1685: 1680: 1676: 1672: 1668: 1664: 1657: 1655: 1653: 1649: 1644: 1640: 1635: 1630: 1627:(6): 279–83. 1626: 1622: 1618: 1611: 1609: 1607: 1603: 1598: 1594: 1590: 1586: 1582: 1578: 1574: 1570: 1563: 1560: 1556: 1553: 1548: 1545: 1541: 1538: 1534: 1531: 1526: 1523: 1518: 1514: 1509: 1504: 1500: 1496: 1492: 1485: 1482: 1477: 1473: 1468: 1463: 1459: 1455: 1452:(5): 739–42. 1451: 1447: 1443: 1436: 1434: 1432: 1428: 1423: 1419: 1414: 1409: 1405: 1401: 1398:(5): 739–42. 1397: 1393: 1389: 1382: 1380: 1378: 1374: 1369: 1365: 1361: 1357: 1352: 1347: 1343: 1339: 1335: 1328: 1325: 1320: 1316: 1312: 1308: 1304: 1300: 1296: 1292: 1285: 1282: 1278: 1274: 1271: 1266: 1263: 1258: 1254: 1250: 1246: 1242: 1238: 1234: 1230: 1226: 1222: 1215: 1213: 1209: 1204: 1200: 1195: 1190: 1185: 1180: 1176: 1172: 1168: 1161: 1159: 1157: 1155: 1153: 1151: 1149: 1147: 1143: 1138: 1134: 1129: 1124: 1120: 1116: 1109: 1102: 1100: 1098: 1096: 1094: 1090: 1085: 1081: 1076: 1071: 1067: 1063: 1060:(7): 1220–4. 1059: 1055: 1051: 1044: 1042: 1038: 1033: 1029: 1024: 1019: 1014: 1009: 1006:(12): 801–4. 1005: 1001: 997: 990: 988: 986: 984: 982: 980: 978: 976: 974: 972: 970: 968: 966: 964: 962: 960: 958: 954: 949: 945: 941: 937: 933: 929: 925: 921: 920:Surgery Today 914: 912: 910: 908: 906: 904: 902: 900: 898: 896: 894: 892: 890: 888: 886: 884: 882: 880: 878: 874: 869: 865: 861: 857: 854:(1): 118–23. 853: 849: 842: 839: 834: 830: 825: 820: 815: 810: 806: 802: 801: 796: 789: 787: 785: 783: 781: 779: 777: 773: 768: 764: 759: 754: 750: 746: 742: 738: 734: 727: 725: 723: 721: 719: 717: 715: 711: 707: 702: 700: 698: 696: 694: 692: 690: 688: 686: 684: 682: 678: 673: 669: 665: 661: 657: 653: 650:(10): 750–7. 649: 645: 638: 636: 634: 630: 623: 621: 618: 611: 609: 605: 601: 600: 596: 589: 586: 584: 579: 576: 574: 570: 566: 558: 556: 554: 553:amniocentesis 550: 546: 542: 538: 534: 532: 528: 527:metronidazole 524: 520: 516: 515: 510: 506: 505:liver failure 501: 499: 495: 491: 487: 479: 477: 475: 471: 467: 459: 457: 454: 449: 441: 436: 434: 432: 427: 425: 421: 417: 409: 407: 405: 400: 398: 390: 389:H&E stain 386: 383: 379: 376: 372: 368: 361: 359: 357: 353: 349: 344: 342: 338: 334: 331: 327: 319: 317: 315: 311: 307: 305: 297: 292: 290: 285: 283: 278: 276: 272: 270: 266: 257: 250: 245: 243: 238: 236: 232: 228: 220: 216: 212: 208: 201: 199: 197: 191: 189: 185: 177: 175: 173: 169: 165: 161: 153: 151: 149: 145: 140: 138: 134: 130: 126: 122: 121:blood vessels 118: 114: 110: 106: 102: 93: 89: 86: 84: 80: 75: 69: 66: 64: 60: 57: 53: 49: 45: 41: 36: 32: 28: 23: 3231: 3210: 3087:Pancreatitis 3049: 2999:biliary tree 2872:Nutmeg liver 2849: 2775:Hematochezia 2726:Pruritus ani 2711:Anal abscess 2706:Anal fistula 2702:Anal fissure 2615:Constipation 2569: 2440:Appendicitis 2257: 2248:Gastroptosis 2238:Achlorhydria 2077: 2066:Eosinophilic 1980: 1969: 1954: 1939: 1894: 1890: 1858:(2): 231–6. 1855: 1851: 1845: 1823:(5): 864–7. 1820: 1816: 1810: 1801: 1793: 1768: 1764: 1716: 1712: 1666: 1662: 1624: 1620: 1575:(6): 885–8. 1572: 1568: 1562: 1554: 1547: 1539: 1525: 1501:(3): 256–8. 1498: 1494: 1484: 1449: 1445: 1395: 1391: 1344:(3): 603–7. 1341: 1337: 1327: 1294: 1290: 1284: 1265: 1224: 1220: 1174: 1170: 1118: 1114: 1057: 1053: 1003: 999: 926:(6): 503–5. 923: 919: 851: 847: 841: 807:(2): 156–8. 804: 798: 740: 736: 647: 643: 619: 615: 612:Epidemiology 597: 590: 587: 580: 577: 564: 562: 537:Paracentesis 535: 512: 502: 483: 474:side effects 470:progesterone 463: 445: 428: 413: 401: 394: 354:for GAVE in 345: 335:. The main 323: 320:Pathogenesis 308: 293: 286: 279: 273: 262: 255: 247: 239: 224: 192: 181: 172:hematochezia 157: 147: 143: 141: 132: 104: 100: 99: 3267:Peritonitis 3029:Cholestasis 3007:Cholangitis 2950:Gallbladder 2838:Fatty liver 2758:Hematemesis 2740:GI bleeding 2546:Necrotizing 2475:Lymphocytic 2470:Collagenous 2465:Microscopic 2402:Steatorrhea 2303:Enteropathy 2149:Inlet patch 2071:Herpetiform 2056:Esophagitis 1121:(7): 1544. 743:(4): 46–9. 541:body cavity 460:Medications 352:risk marker 242:scleroderma 30:Other names 3303:Categories 3259:Peritoneal 3237:Incisional 3158:Congenital 3102:Hereditary 3079:Pancreatic 3043:Haemobilia 2716:Hemorrhoid 2694:Anal canal 2632:Infectious 2620:Functional 2455:Ulcerative 2339:Duodenitis 2278:Gastrinoma 1982:DiseasesDB 1897:(1): 290. 624:References 565:antrectomy 498:meta-study 397:endoscopic 371:Micrograph 358:patients. 304:deficiency 211:Micrograph 137:watermelon 48:Endoscopic 3247:Richter's 3204:Spigelian 3199:Obturator 3189:Umbilical 3022:Ascending 2993:Bile duct 2826:Cirrhosis 2804:Hepatitis 2787:Accessory 2657:Proctitis 2508:Megacolon 2482:Dysentery 2392:Whipple's 2344:Jejunitis 2334:Enteritis 2221:Dyspepsia 2182:Gastritis 2115:Achalasia 2048:Esophagus 1368:207603440 1319:205244678 1241:1756-185X 602:is being 531:rifaximin 509:lactulose 437:Treatment 362:Diagnosis 300:vitamin B 249:bleeding. 215:cirrhosis 184:cirrhosis 164:physician 63:Specialty 3177:Indirect 3172:Inguinal 2906:Pyogenic 2851:Vascular 2627:Diarrhea 2605:Volvulus 2571:Vascular 2510: / 2499: / 2460:Ischemic 2427:Appendix 2317:Duodenum 2187:Atrophic 2061:Candidal 1911:20039398 1872:18533150 1837:14585429 1785:19577116 1743:17054221 1693:17054131 1643:17379994 1597:25328326 1533:Archived 1517:20361704 1476:10205216 1422:10205216 1360:20080908 1311:18498445 1273:Archived 1257:24009655 1249:28217887 1203:21160630 1137:20595295 1032:20011731 948:25727751 940:17522771 868:13052170 833:20220268 767:20740102 672:36333766 595:template 583:ablation 523:neomycin 519:diabetes 466:estrogen 378:thrombus 291:levels. 252:—  88:Bleeding 83:Symptoms 3218:Petit's 3194:Femoral 3097:Chronic 2911:Amoebic 2679:Anismus 2445:Colitis 2372:Coeliac 2349:Ileitis 2321:Jejunum 2174:Stomach 2078:Rupture 1976:D020252 1734:8855742 1684:7045742 1589:2721320 1467:1727493 1413:1727493 1194:2999147 1084:8614622 1023:2805515 824:2855069 758:2911825 664:3499091 608:  559:Surgery 549:abdomen 547:in the 507:, then 404:abdomen 382:Stomach 333:thrombi 289:gastrin 258:, 2010. 196:Gastrin 129:stomach 123:in the 117:dilated 52:pylorus 3212:Lumbar 3182:Direct 3165:Hiatus 3145:Hernia 2997:Other 2763:Melena 2649:Rectum 2132:(GERD) 1965:537.82 1909:  1870:  1835:  1783:  1741:  1731:  1691:  1681:  1641:  1595:  1587:  1515:  1474:  1464:  1420:  1410:  1366:  1358:  1317:  1309:  1255:  1247:  1239:  1201:  1191:  1135:  1082:  1075:145780 1072:  1030:  1020:  946:  938:  866:  831:  821:  765:  755:  670:  662:  569:antrum 529:, and 424:anemia 385:biopsy 375:fibrin 330:fibrin 256:et al. 233:, and 168:melena 160:anemia 148:et al. 144:et al. 119:small 70:  3137:Other 3092:Acute 2843:MASLD 2796:Liver 2770:Lower 2753:Upper 2595:Ileus 2431:Colon 2325:Ileum 2140:(LPR) 1987:29505 1950:K31.8 1593:S2CID 1364:S2CID 1315:S2CID 1253:S2CID 1111:(PDF) 944:S2CID 668:S2CID 593:‹The 517:with 328:with 178:Cause 92:edema 2525:SCAD 1971:MeSH 1960:9-CM 1907:PMID 1868:PMID 1833:PMID 1781:PMID 1739:PMID 1717:2010 1689:PMID 1667:2006 1639:PMID 1585:PMID 1513:PMID 1472:PMID 1418:PMID 1356:PMID 1307:PMID 1245:PMID 1237:ISSN 1199:PMID 1133:PMID 1080:PMID 1028:PMID 936:PMID 864:PMID 829:PMID 763:PMID 660:PMID 468:and 418:and 312:and 105:GAVE 2831:PBC 2558:IBD 2492:IBS 1956:ICD 1941:ICD 1899:doi 1860:doi 1825:doi 1821:197 1800:at 1773:doi 1729:PMC 1721:doi 1679:PMC 1671:doi 1629:doi 1577:doi 1503:doi 1462:PMC 1454:doi 1446:Gut 1408:PMC 1400:doi 1392:Gut 1346:doi 1299:doi 1229:doi 1189:PMC 1179:doi 1123:doi 1070:PMC 1062:doi 1018:PMC 1008:doi 928:doi 856:doi 819:PMC 809:doi 753:PMC 745:doi 652:doi 571:". 476:." 111:or 3305:: 2995:/ 2593:: 2574:: 2370:: 1985:: 1974:: 1963:: 1948:: 1945:10 1905:. 1895:62 1893:. 1866:. 1856:68 1854:. 1831:. 1819:. 1779:. 1769:93 1767:. 1751:^ 1737:. 1727:. 1715:. 1701:^ 1687:. 1677:. 1665:. 1651:^ 1637:. 1625:46 1623:. 1619:. 1605:^ 1591:. 1583:. 1573:34 1571:. 1511:. 1499:67 1497:. 1493:. 1470:. 1460:. 1450:44 1448:. 1444:. 1430:^ 1416:. 1406:. 1396:44 1394:. 1390:. 1376:^ 1362:. 1354:. 1342:37 1340:. 1336:. 1313:. 1305:. 1295:28 1293:. 1251:. 1243:. 1235:. 1225:20 1223:. 1211:^ 1197:. 1187:. 1173:. 1169:. 1145:^ 1131:. 1119:37 1117:. 1113:. 1092:^ 1078:. 1068:. 1058:24 1056:. 1052:. 1040:^ 1026:. 1016:. 1004:23 1002:. 998:. 956:^ 942:. 934:. 924:37 922:. 876:^ 862:. 852:24 850:. 827:. 817:. 805:30 803:. 797:. 775:^ 761:. 751:. 741:13 739:. 735:. 713:^ 680:^ 666:. 658:. 648:11 646:. 632:^ 606:.› 555:. 525:, 484:A 387:. 302:12 237:. 229:, 139:. 3031:/ 2704:/ 2523:/ 2519:/ 2433:) 2429:/ 2425:( 2327:) 2323:/ 2319:/ 2315:( 2022:e 2015:t 2008:v 1958:- 1943:- 1933:D 1913:. 1901:: 1874:. 1862:: 1839:. 1827:: 1787:. 1775:: 1745:. 1723:: 1695:. 1673:: 1645:. 1631:: 1599:. 1579:: 1519:. 1505:: 1478:. 1456:: 1424:. 1402:: 1370:. 1348:: 1321:. 1301:: 1259:. 1231:: 1205:. 1181:: 1175:2 1139:. 1125:: 1086:. 1064:: 1034:. 1010:: 950:. 930:: 870:. 858:: 835:. 811:: 769:. 747:: 674:. 654:: 391:. 221:. 103:(

Index


Endoscopic
pylorus
argon plasma coagulation
Specialty
Gastroenterology
Edit this on Wikidata
Symptoms
Bleeding
edema
gastrointestinal bleeding
iron deficiency anemia
dilated
blood vessels
gastric antrum
stomach
watermelon
anemia
physician
melena
hematochezia
cirrhosis
connective tissue
Gastrin

Micrograph
cirrhosis
Trichrome stain
portal hypertension
chronic kidney failure

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