Vascular malformations of the gastrointestinal tract

被引:102
作者
Gordon, FH
Watkinson, A
Hodgson, H
机构
[1] UCL Royal Free Hosp, London NW3 2PF, England
[2] UCL Royal Free & Univ Coll, Sch Med, London NW3 2PF, England
关键词
angiodysplasia; haemangioma; telangiectasia; gastrointestinal bleeding;
D O I
10.1053/bega.2000.0155
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Vascular malformations of the gastrointestinal tract may be diagnosed at any age. They may present with bleeding, anaemia, or if they form a mass lesion, with intussusception. Many lesions remain asymptomatic. In a minority of patients there are well-defined genetic conditions present, such as hereditary haemorrhagic telangiectasia. In others, particularly the angiodysplastic lesions that occur in the caecum in elderly patients, the lesions appear to be degenerative. Vascular malformations may affect any section of the gastrointestinal tract, and in some patients there are vascular anomalies elsewhere, particularly in the skin. Diagnosis is usually based on recognition endoscopically, or at angiography. Symptomatic lesions that are discrete and localized respond well to local treatment with laser or heat coagulation or sclerotherapy. Mass lesions, diffuse lesions and severe bleeding may require surgery.
引用
收藏
页码:41 / 58
页数:18
相关论文
共 58 条
  • [1] ABDULIAN JD, 1993, AM J GASTROENTEROL, V88, P1939
  • [2] Adkisson KW, 1999, GASTROINTEST ENDOSC, V49, pAB162
  • [3] Askin MP, 1996, GASTROINTEST ENDOSC, V43, P580, DOI 10.1016/S0016-5107(96)70195-5
  • [4] DIEULAFOYS DISEASE - ENDOSCOPIC TREATMENT AND FOLLOW-UP
    BAETTIG, B
    HAECKI, W
    LAMMER, F
    JOST, R
    [J]. GUT, 1993, 34 (10) : 1418 - 1421
  • [5] BAKER AL, 1971, GASTROENTEROLOGY, V61, P530
  • [6] GASTROINTESTINAL HEMANGIOMATOSIS IN CHILDREN - DEMONSTRATION WITH CT
    BANK, ER
    HERNANDEZ, RJ
    BYRNE, WJ
    [J]. RADIOLOGY, 1987, 165 (03) : 657 - 658
  • [7] Ethanolamine injection for sclerotherapy of angiodysplasia of the colon
    Bemvenuti, GA
    Julich, MM
    [J]. ENDOSCOPY, 1998, 30 (06) : 564 - 569
  • [8] SURGICAL PITFALLS IN A PATIENT WITH TYPE-IV EHLERS-DANLOS SYNDROME AND SPONTANEOUS COLONIC RUPTURE - REPORT OF A CASE
    BERNEY, T
    LASCALA, G
    VETTOREL, D
    GUMOWSKI, D
    HAUSER, C
    FRILEUX, P
    AMBROSETTI, P
    ROHNER, A
    [J]. DISEASES OF THE COLON & RECTUM, 1994, 37 (10) : 1038 - 1042
  • [9] Bilbao JI, 1996, AM J GASTROENTEROL, V91, P1287
  • [10] Breton J O, 1978, J Radiol Electrol Med Nucl, V59, P435