Document Detail


Angiodysplasia in the colon and rectum. Endoscopic morphology, localisation and frequency.
MedLine Citation:
PMID:  3876926     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a prospective study, the occurrence of angiodysplasia was investigated by total colonoscopy in 1938 patients. Angiodysplasia was found in 59 patients, i.e. 3%. 12 out of 59 patients were admitted for acute or chronic peranal hemorrhage or anemia. 47 out of 59 patients were asymptomatic. The site of the lesions was as follows: cecum 37%, ascending colon 17%, transverse colon 7%, descending colon 7%, sigmoid colon 18% and rectum 14%. Histological confirmation was obtained in 15 out of 37 biopsies. The endoscopic appearance was variable, most of the vascular dilatations being smaller than 5 mm (n = 47), with a homogeneous (n = 35) or inhomogeneous (n = 24) structure and a regular (n = 34) or irregular (n = 25) border. The lesions were single (n = 34) as well as multiple (n = 25), they were usually flat (n = 54), seldom slightly prominent (n = 5). Concomitant pathological findings in the bowel were diagnosed in 33 out of 59 patients: diverticula in 32%, adenomas in 24% and carcinomas in 8.5%. Right hemicolectomy for bleeding angiodysplasia is indicated only if endoscopic therapy has failed and other colorectal sources of bleeding, and especially angiodysplasia in the left colon and rectum have been excluded by endoscopy or angiography.
Authors:
W Höchter; J Weingart; W Kühner; E Frimberger; R Ottenjann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Endoscopy     Volume:  17     ISSN:  0013-726X     ISO Abbreviation:  Endoscopy     Publication Date:  1985 Sep 
Date Detail:
Created Date:  1985-11-25     Completed Date:  1985-11-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0215166     Medline TA:  Endoscopy     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  182-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Blood Vessels / pathology*
Colectomy
Colon / blood supply*,  surgery
Colonoscopy
Female
Gastrointestinal Hemorrhage / etiology
Humans
Male
Middle Aged
Prospective Studies
Rectum / blood supply*,  surgery
Vascular Surgical Procedures

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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