Case study: gastric antral vascular ectasia

In this case, we report an elderly woman who presented with a 5-month history of intermittent melaena, fatigue, and dyspnoea. Oesophago-gastro-duodenoscopy (OGD) revealed multiple angioectatic lesions in the gastric antrum, consistent with gastric antral vascular ectasia (GAVE), without evidence of active bleeding. This case underscores the diagnostic challenge of GAVE, which often presents with intermittent, non-specific symptoms. Early recognition is essential in older patients with unexplained anaemia, and management should be individualised, balancing bleeding risk against thromboembolic protection, particularly given the high prevalence of vascular, hepatic, and renal comorbidities in this cohort. Introduction Gastric antral vascular ectasia (GAVE) is a