Gastric antral vascular ectasia is an uncommon but potentially treatab
le cause of chronic gastrointestinal blood loss. In classical form, th
e condition has a striking endoscopic appearance of prominent longitud
inal erythematous folds traversing the gastric antrum (Fig. 1), descri
bed as a ''water-melon stomach.'' In many cases, however, the findings
are not typical; diffuse gastric reddening indistinguishable from sim
ple gastritis is present. Previous reports have suggested that angiogr
aphy is usually not helpful in the diagnosis of this abnormality [1-5]
, However, in a 4-year period, we encountered four patients with gastr
ic antral vascular ectasia, all of whom had characteristic findings on
celiac arteriograms.