case_images: PMC11771729_01
case_images: Endoscopic findings and histological biopsy of the patient on admission to hospital; radial erythema was observed in the gastric antrum (A), hematoxylin and eosin (H&E) staining revealed dilated capillaries (B), and immunohistochemistry showed positive staining for CD31 (C) and CD34 (D).
case_images: medi-104-e41235-g001.jpg
case_images: PMC11771729_01_medi-104-e41235-g001.jpg
case_images: F1
case_images: During a subsequent EGD accompanied by histological biopsy, radial erythema was observed in the gastric antrum, with some areas showing nodular elevations (Fig. 1A). CD31 (Fig. 1C) and CD34 (Fig. 1D). Colonoscopy examination did not show any obvious lesions.
case_images: Treatment of gastric antral vascular ectasia with endoscopic band ligation in the first operation (A-D).
case_images: medi-104-e41235-g002.jpg
case_images: PMC11771729_01_medi-104-e41235-g002.jpg
case_images: F2
case_images: We utilized a multi-band ligator equipped with 10 bands to treat the radial erythematous stripes emanating from the distal gastric antrum, covering the majority of the lesion (Fig. 2).
case_images: Treatment of gastric antral vascular ectasia with endoscopic band ligation plus lauromacrogol injection in the second operation (A-D).
case_images: medi-104-e41235-g003.jpg
case_images: PMC11771729_01_medi-104-e41235-g003.jpg
case_images: F3
case_images: During the operation, we reapplied EBL to the areas with radial stripes and administered lauromacrogol injections to the more severe parts of the lesions (Fig. 3).
case_images: Follow-up esophagogastroduodenoscopy 6 weeks after the second operation showed reduction of the lesion and scar formation.
case_images: medi-104-e41235-g004.jpg
case_images: PMC11771729_01_medi-104-e41235-g004.jpg
case_images: F4
case_images: At the 6-week follow-up, the patient exhibited a negative FOBT, normalization of hemoglobin levels to 12.9 g/dL, and endoscopic images demonstrated near complete resolution of vascular ectasias (Fig. 4).