This listing is for a periwinkle ribbon lapel / hat pin. The Periwinkle ribbon represents gastric cancer, esophageal cancer, eating disorders including anorexia and bulimia awareness, gastric cancer survivors, irritable bowel syndrome (IBS), small intestine cancer, stomach cancer awareness and pulmonary hypertension. Periwinkle Ribbon pin is sterling silver plated and measures 1 1/2 inches tall. Your pin will be carefully packed into a small gift box.