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
  • [31] Interferon alpha-2a therapy for disseminated intravascular coagulation in a patient with blue rubber bleb nevus syndrome - A case report
    Kunishige, M
    Azuma, H
    Masuda, K
    Shigekiyo, T
    Arii, Y
    Kawai, H
    Saito, S
    [J]. ANGIOLOGY, 1997, 48 (03) : 273 - 277
  • [32] Pseudoxanthoma elasticum maps to an 820-kb region of the p13.1 region of chromosome 16
    Le Saux, O
    Urban, Z
    Göring, HHH
    Csiszar, K
    Pope, FM
    Richards, A
    Pasquali-Ronchetti, I
    Terry, S
    Bercovitch, L
    Lebwohl, MG
    Breuning, M
    van den Berg, P
    Kornet, L
    Ott, J
    de Jong, PTVM
    Bergen, AAB
    Boyd, CD
    [J]. GENOMICS, 1999, 62 (01) : 1 - 10
  • [33] Lewis B S, 1990, Am J Gastroenterol, V85, P1649
  • [34] NEURO-ENDOCRINE CELL PROLIFERATIONS IN GASTRIC ANTRAL VASCULAR ECTASIA
    LOWES, JR
    RODE, J
    [J]. GASTROENTEROLOGY, 1989, 97 (01) : 207 - 212
  • [35] Marchuk D A, 1998, Curr Opin Hematol, V5, P332, DOI 10.1097/00062752-199809000-00005
  • [36] LASER TREATMENT OF INTESTINAL VASCULAR ABNORMALITIES
    MATHUSVLIEGEN, EMH
    [J]. INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 1989, 4 (01) : 20 - 25
  • [37] Jejunal phlebectasia presenting with massive gastrointestinal hemorrhage
    Mejia, EM
    Alvarez, OA
    Anderson, EC
    Encarnacion, CE
    Luna, M
    Tio, FO
    Lee, M
    [J]. JOURNAL OF CLINICAL GASTROENTEROLOGY, 1996, 22 (03) : 215 - 217
  • [38] MURRAY-LYON I M, 1971, Journal of Pathology, V105, P295, DOI 10.1002/path.1711050411
  • [39] TREATMENT OF COLONIC BLEEDING IN KLIPPEL-TRENAUNAY-SYNDROME WITH COMBINED PARTIAL COLECTOMY AND ENDOSCOPIC LASER
    MYERS, BM
    [J]. DIGESTIVE DISEASES AND SCIENCES, 1993, 38 (07) : 1351 - 1353
  • [40] Nardone G, 1999, ALIMENT PHARM THER, V13, P1429