Review on gastrointestinal angiodysplasia throughout the gastrointestinal tract

Beg, Sabina; Ragunath, Krish

doi:10.1016/j.bpg.2016.11.004

Cited by 22 publications

(23 citation statements)

References 61 publications

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“…Angiodysplasia is a pathological communication between dilated mucosal capillaries and submucosal veins (34), and is the most common vascular lesion of the gastrointestinal tract and an important cause of digestive hemorrhage (34). The main locations for angiodysplasia are cecum, ascending colon (80%) and jejunum (15%) (34).…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of angiodysplasia is challenging due to difficult accessibility (particularly for small bowel angiodysplasia) and the requirement of active bleeding at the time of examination to identify the lesion (35). Furthermore, angiodysplasia has often multiple locations (34,35).…”

Section: Discussionmentioning

confidence: 99%

“…For cecum and colon, direct endoscopic visualization of the lesion is the standard method of diagnosis (34), while for small bowel lesions video capsule endoscopy appears to be the most appropriate method to detect angiodysplasia, while angiography is frequently a late diagnostic procedure (35). It is worth to mention that both video capsule endoscopy and angiography have high successful diagnostic rates only when there is an active bleeding, and for these situations, angiographic embolization of the specific lesions can stop the bleeding (35), as it was the case in our patient.…”

Section: Discussionmentioning

confidence: 99%

“…It is worth to mention that both video capsule endoscopy and angiography have high successful diagnostic rates only when there is an active bleeding, and for these situations, angiographic embolization of the specific lesions can stop the bleeding (35), as it was the case in our patient. Presence of vascular tufts at visceral angiography in the arterial phase along with early opacification of draining veins suggests the diagnosis of angiodysplasia (34).…”

Section: Discussionmentioning

confidence: 99%

“…Thus, angiodysplasia has increased frequency rates in patients with von Willebrand disease, but the diagnosis and management are challenging. Pathogenesis of angiodysplasia in patients with von Willebrand disease remains unclear (35), as it is the case for most patients with angiodysplasia (34).…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Gastric Cancer, Hemophilia A and Angiodysplasia - An Unreported Association with Clinical Implications in a Patient with Digestive Hemorrhage

Martiniuc¹,

Grasu²,

Dumitru³

et al. 2018

chr

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Introducere: Cancerul gastric este rareori cauza unei hemoragii digestive superioare acute. Comorbidităţile pacientului pot avea un efect negativ atât asupra rezultatelor imediate cât şi asupra celor tardive, după rezecţia chirurgicală a unui cancer gastric. Asocierea cancerului gastric cu hemofilia A şi angiodisplazie nu a mai fost raportată până în prezent în literatura de specialitate, iar impactul acestei asocieri asupra rezultatelor postoperatorii este necunoscut. Prezentarea cazului: Un bărbat de 49 de ani, cunoscut cu hemofilie A, se prezintă cu hemoragie digestivă superioară şi anemie secundară severă, fiind diagnosticat cu adenocarcinom gastric. Se practică gastrectomie totală cu splenectomie şi limfodisecţie D2. Evoluţia postoperatorie a fost complicată de apariţia unui nou episod de hemoragie digestivă datorat prezenţei leziunior angiodisplazice la nivelul cecului şi jejunului; episodul de hemoragie digestivă a fost tratat fde această dată, cu success, prin embolizare radiologică. În perioada pre şi postoperatorie pacientul a primit factor VIII, dar a dezvoltat auto-anticorpi împotriva factorului VIII. Astfel, administrarea de factor VIII a fost întreruptă şi înlocuită cu FEIBA ("factor

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Gastric Cancer, Hemophilia A and Angiodysplasia - An Unreported Association with Clinical Implications in a Patient with Digestive Hemorrhage

Martiniuc¹,

Grasu²,

Dumitru³

et al. 2018

chr

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show abstract

Gastrointestinale Blutung

Markus¹,

Schmidt²,

Roblick³

2022

Allgemein- Und Viszeralchirurgie I

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Angiodysplasia in terminal ileum: Case report and review of literature

Alghamdi

2020

International Journal of Surgery Case Reports

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HighlightsAngiodysplasias are a frequent cause of gastrointestinal bleeding with a diverse clinical manifestations ranging from symptoms and signs of iron deficiency anemia to occult bleeding and even life-threatening bleeding. This case demonstrates angiodysplasia as an impending source of occult gastrointestinal bleeding.According to most authors histological diagnosis of angiodysplasia is based on the presence of mucosal vascular ecstasies with associated prominently dilated capillaries penetrating the muscularis mucosae. In this case these criteria are satisfied; however presence of large, thick walled vessels in submucosa is not described in the classic case of angiodysplasia.In this case report: I am discussing this case and making a comparison with the ususal presentation of angiodysplasia, how to diagnose obsure bleeding.Role of the radiological as well as triphasic CT scan finding to diagnose the angiodysplasia of the small intestine.Incidine of the angiodysplasia in the small intestine.

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Review on gastrointestinal angiodysplasia throughout the gastrointestinal tract

Cited by 22 publications

References 61 publications

Gastric Cancer, Hemophilia A and Angiodysplasia - An Unreported Association with Clinical Implications in a Patient with Digestive Hemorrhage

Gastric Cancer, Hemophilia A and Angiodysplasia - An Unreported Association with Clinical Implications in a Patient with Digestive Hemorrhage

Gastrointestinale Blutung

Angiodysplasia in terminal ileum: Case report and review of literature

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