Bleeding angiodysplasia of the gastrointestinal tract

Aust N Z J Surg. 1992 May;62(5):344-9. doi: 10.1111/j.1445-2197.1992.tb07201.x.

Abstract

Bleeding angiodysplasia of the gastrointestinal tract poses frustrating challenges to clinicians because these minute vascular lesions are difficult to diagnose pre-operatively and to locate intra-operatively. During the past 12 years, 24 patients were treated for histopathologically confirmed bleeding angiodysplasia of the gastrointestinal tract. Pre-operative investigations and intra-operative localization followed a fixed protocol for patients with gastrointestinal bleeding of obscure origin. The median follow-up of these 24 patients was 51 months and the results of treatment for 22 patients were excellent. Two patients had recurrent bleeding but investigations failed to determine the bleeding source.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Angiodysplasia / complications
  • Angiodysplasia / diagnosis*
  • Angiodysplasia / surgery
  • Angiography
  • Barium Sulfate
  • Clinical Protocols / standards
  • Decision Trees
  • Endoscopy, Gastrointestinal
  • Female
  • Follow-Up Studies
  • Gastrointestinal Hemorrhage / epidemiology
  • Gastrointestinal Hemorrhage / etiology*
  • Hong Kong / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Preoperative Care
  • Recurrence
  • Sodium Pertechnetate Tc 99m
  • Treatment Outcome

Substances

  • Barium Sulfate
  • Sodium Pertechnetate Tc 99m