Aberrant blood vessels are frequently found in the gastrointestinal (GI) tract, where they are probably more common than anywhere else in the. Request PDF on ResearchGate | On May 1, , D. Serralta de Colsa and others published Hemorragia invalidante y recidivante por angiodisplasia intestinal. Gastrointestinal angiodysplasias or angioectasias are one of the most common causes of occult gastrointestinal bleeding. Epidemiology Peak incidence occurs.

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When affected patients have been evaluated by colonoscopy concomitant lesions have been diagnosed in one-third of instances. The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding. Angiodsiplasia T, Hamilton P. Upper Hematemesis Melena Lower Hematochezia. Re-bleeding in patients without an aggressive intervention during follow up is not scarce, and a medical therapy other than oral iron should be studied for those patients.

A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease. Thalidomide shows anti-inflammatory, immunomodulatory and anti-angiogenic properties and inhibits VEGF production, which is considered a key factor for the formation of the vascular endothelium in the initial stages of angiogenesis.

Angiodysplasia of the gastrointestinal tract.

A comparative study with push enteroscopy. On the other hand, patients with small angiodysplasia Fig. CiteScore measures average citations received per document published.


However, the lesions may be widespread, making such treatment impractical. Please review our privacy policy.

Multiphase CT enterography evaluation of small-bowel vascular lesions. Any controversial finding was extensively discussed. Hospital General Virgen de la Luz. Thus is formed an arteriovenous malformation characterized by a small tuft of dilated vessels.

However, no differences have been established in order to define which of those lesions are of clinical relevance, or need a specific therapy, because sometimes angiodysplasia are observed as irrelevant findings in patients with neither anemia nor overt bleeding Introduction Gastrointestinal bleeding and chronic ferropenic anaemia resulting from vascular lesions of the digestive tract sometimes pose a difficult therapeutic challenge due to the location and multiplicity of such lesions.

Check for errors and try again. Gastroenterol Clin North Am.

Patients with other bowel lesions were excluded, as they might bias our results. Si continua navegando, consideramos que acepta su uso.


Although the lesions can be notoriously hard to find, the patient usually is diagnosed by endoscopy. If the bleeding is from multiple or inaccessible sites, systemic therapy ontestinal medication may be necessary. In all treated cases, the improvement was strikingly rapid, with disappearance of UGIB and the need for transfusion in intsetinal days after estrogen therapy implementation.

However, prospective randomized controlled trials assessing the efficacy of hormonal therapy are limited, and results from two trials conflict.


Angiodysplasia – Wikipedia

Diseases of the digestive system primarily K20—K93— This patient is still under clinical surveillance. In general, the adverse side effects reported in the literature are not severe fatigue, peripheral neuropathy, skin rash and resolved after withdrawal of the drug. We therefore conducted a prospective observational follow up study in which patients with angiodysplasia found anyiodisplasia WCE were recruited to a one year follow-up. Can J Gastroenterol ; The rest who underwent endoscopic procedures 8 patients were treated with argon gas coagulation with subsequent persistent anemia in one.

Although a significant number of patients with no bleeding episodes have small bowel lesions, no studies have correlated the size and number of intestinal angiodysplasia with the outcome of a given patient.


Thirty prospectively recruited patients referred to the Hospital Virgen de la Luz of Cuenca, between October and Augustwith a WCE diagnosis of angiodysplasia were included. All findings on CE were revealed to the referring physicians, and the patients’ subsequent management was directed by them.

Here, the vessel supplying the angiodysplasia is selectively catheterized and embolizaed with microparticles.