Id: 3523942 Endocuff Assisted Push Enteroscopy Increases the Diagnosis of Gastrointestinal Angiodysplasia

Intraoperative Endoscopic-Guided Bowel Resection for Persistent Gastrointestinal Bleeding Caused by Angiodysplasia: A Case Report and Literature Review

“…However, they can be found throughout the entire gastrointestinal tract. 1 Jackson et al reported that approximately 10% of patients with a history of obscure gastrointestinal bleeding and greater than one AVM endoscopically had additional GIADs on CE 1 . Further, greater than 50% of these lesions were located in the small bowel, with 37% located in the jejunum and 15% located in the ileum.…”

“…As an example, in symptomatic patients with an initially negative CE, 29% of patients re-presented and were found to have GIADs on repeat CE. 1 Thus, a comprehensive diagnostic workup is important to prevent recurrent bleeding secondary to missed, untreated lesions. Specifically, Jackson et al described success in the use of Endocuff-assisted push enteroscopy to reach distal angiodysplastic lesions and prevent missed GIAD lesions.…”

“…In 90% of patients, first-occurrence angiodysplasia resolves spontaneously; however, patients with multiple comorbidities commonly require ongoing medical therapy to prevent rebleeding. 1 The usual medical treatment strategies include the administration of somatostatin analogs and antiangiogenics. In addition, some patients may require endoscopic interventions such as argon plasma coagulation (APC), mechanical clip placement, multipolar electrocoagulation, and laser photoablation.…”

“…Interventional radiology with embolization may be required in some patients. 1 If endoscopic and interventional procedures fail to control hemorrhage, endoscopic-guided surgical resection can be considered. 2 3 4 5 6 Although this approach has been previously described, there are few reports of recalcitrant gastrointestinal bleeding associated with angiodysplasia requiring intraoperative endoscopic guidance for bowel resection.…”

Abdominal complications after cardiopulmonary bypass surgery: data analysis for 2011-2021

“…Показания к неотложным хирургическим вмешательствам определяются, когда иным методом язвенное кровотечение остановить нельзя, либо при их рецидивах. У больных высокого операционноанестезиологического риска, а также при неэффективности эндоскопических методов гемостаза возможна эндоваскулярная трансартериальная эмболизация сосуда, являющегося источником кровотечения [20].…”