{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T19:05:20Z","timestamp":1788635120898,"version":"build-2803163510"},"reference-count":0,"publisher":"Greater Baltimore Medical Center","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Community Hospital Internal Medicine Perspectives"],"abstract":"<jats:p>Gastric Antral Vascular Ectasia (GAVE) is an uncommon cause of chronic gastrointestinal bleeding and iron deficiency anemia in the geriatric population. It is often associated with cirrhosis of the liver and is hypothesized to result from synthetic liver dysfunction. Treatment options include argon plasma coagulation, endoscopic band ligation, and radiofrequency ablation. An orthotopic liver transplant may be effective for patients with advanced liver disease. In this case report, we describe a 60-year-old woman with a history of cirrhosis secondary to nonalcohol-related steatohepatitis (NASH) and GAVE syndrome who presented with abdominal pain and melena. She had multiple prior episodes of gastrointestinal bleeding, leading to long-term transfusion dependency. An urgent esophagogastroduodenoscopy revealed the presence of GAVE with active bleeding. The patient was supported with blood transfusions and transferred to a transplant center, where she underwent orthotopic liver transplantation. Following the transplantation, her hemoglobin levels improved and remained stable. She was no longer noted to require any further blood transfusions during outpatient follow-up visits. This case report substantiates the role of synthetic liver dysfunction in the development of GAVE. Also, it suggests that patients with advanced cirrhosis and refractory GAVE may benefit from liver transplantation as a potential treatment option.<\/jats:p>","DOI":"10.55729\/2000-9666.1276","type":"journal-article","created":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T22:01:19Z","timestamp":1715292079000},"source":"Crossref","is-referenced-by-count":1,"title":["Gastric Antral Vascular Ectasia: Resolution of Bleeding and Stabilization of Hematocrit Following Orthotopic Liver Transplantation"],"prefix":"10.55729","volume":"14","author":[{"given":"Mohammed Rifat","family":"Shaik","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Maryland Medical Center Midtown Campus, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishat Anjum","family":"Shaik","sequence":"additional","affiliation":[{"name":"Department of Medicine, Guntur Medical College, Guntur, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikita","family":"Srivalsan","sequence":"additional","affiliation":[{"name":"Department of Medicine, American University of Antigua, Osbourn, Antigua"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay","family":"Duddu","sequence":"additional","affiliation":[{"name":"Greater Baltimore Medical Center, Towson, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksan","family":"Khachatryan","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Maryland Medical Center Midtown Campus, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaid","family":"Bilgrami","sequence":"additional","affiliation":[{"name":"Department of Radiology, New York Presbyterian Hospital Columbia Campus, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Shih","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Maryland Medical Center, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"34701","published-online":{"date-parts":[[2024,5,7]]},"container-title":["Journal of Community Hospital Internal Medicine Perspectives"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/scholarlycommons.gbmc.org\/cgi\/viewcontent.cgi?article=1276&amp;context=jchimp","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T09:58:36Z","timestamp":1788602316000},"score":1,"resource":{"primary":{"URL":"https:\/\/scholarlycommons.gbmc.org\/jchimp\/vol14\/iss3\/19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,7]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,5,7]]}},"URL":"https:\/\/doi.org\/10.55729\/2000-9666.1276","relation":{},"ISSN":["2000-9666"],"issn-type":[{"value":"2000-9666","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,7]]}}}