Clinical features and endoscopic findings in patients with actively bleeding colonic angiodysplasia

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
Naoyuki NishimuraHiroshi Yamamoto

Abstract

Colonic angiodysplasia (AGD) is an important cause of lower gastrointestinal bleeding. However, most episodes of bleeding from colonic AGD stop spontaneously. To date, few data are available regarding the endoscopic findings of bleeding colonic AGD. In order to clarify the clinical features and endoscopic findings of actively bleeding colonic AGD, we conducted a retrospective study of patients treated with colonoscopy at our hospital. From November 2006 to March 2013 inclusive, 32,586 colonoscopies were performed at this hospital, among which 13 patients with bleeding colonic AGD were enrolled in the current study. The mean age was 84 years (range: 69-90 years). All patients had chronic heart disease and were currently using anticoagulant and/or antiplatelet drugs. Sites of bleeding AGD were localized in the left colon in two patients (15 %) and in the right colon in the remaining patients (85 %). A total of 77 % of the lesions (10/13) were 1-2 mm in size and two lesions were 4 mm in size; only one lesion was larger than 5 mm. Endoscopic treatment resulted in a therapeutic success rate of 100 %, and no recurrence of bleeding was observed in 85 % of the patients (11/13) after treatment. During the study period, two patients pres...Continue Reading

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Citations

Sep 7, 2016·International Journal of Colorectal Disease·Naoyuki NishimuraHiroshi Yamamoto
May 27, 2020·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Chunyan LiYufei Liu
Oct 24, 2018·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Yi-Yen TsaiTien-Yu Huang

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