Endoscopic laser therapy for watermelon stomach

Christopher J. Gostout, David A. Ahlquist, Craig M. Radford, Thomas R. Viggiano, Brad A. Bowyer, Rita K. Balm

Research output: Contribution to journalArticlepeer-review

91 Scopus citations


Thirteen patients (9 women, 4 men) with anemia from acute and chronic gastrointestinal bleeding were found to have antral vascular disease consistent with watermelon stomach. The median age was 73 yr, with a range of 54-88 yr. Eight of the patients were transfusion-dependent, requiring a median of 5.5 U within the 12 mo before treatment. All were treated with endoscopic neodymium:yttrium-aluminum-garnet laser coagulation. Endoscopic and hematologic improvement were evident in 12 patients available for follow-up after a median period of 6 mo. There was a median increase of 4 g/dl in hemoglobin concentration; thus, the need for transfusion was eliminated. No major complications were encountered. Laser coagulation for watermelon stomach appears to be safe and efficacious and may be a therapeutic alternative for this disorder.

Original languageEnglish (US)
Pages (from-to)1462-1465
Number of pages4
Issue number6
StatePublished - Jun 1989

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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