Comparison of gastric antral vascular ectasia and Portal

hypertensive gastropathy
GAVE PHG
Caused by portal
hypertension
No Yes
Sequela of EVS or EVBL of
esophageal varices
No Yes
Location in stomach Antrum Proximal stomach
Endoscopic pattern Red spots in mosaic, bright
red linear stripes,
watermelon stomach
Tiger or snake skin mosaic
pattern and red spots
Pathology Thrombi, spindle cell
proliferation and
fibrohyalinosis
Dilated capillaries and
venules without
inflammation
Conventional treatment Endoscopy: bicap, argon,
laser, or halo
Reduce portal pressure
with intravenous or oral
medicaiton
Rescue treatment Antrectomy and Billroth I TIPS/Shunt surgery/Liver
transplant