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Digestive Diseases and Sciences
Published in: Digestive Diseases and Sciences 10/2019

01-10-2019 | Tarry Feces | Editorial

Risk Stratification of Angioectasia as a Cause of Gastrointestinal Bleeding: Untangling the Spider’s Web?

Authors: Dejan Micic, Neil Sengupta

Published in: Digestive Diseases and Sciences | Issue 10/2019

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Excerpt

Angioectasias (AE) represent one of a variety of vascular gastrointestinal mucosal lesions that can potentially bleed. Initial studies of obscure gastrointestinal bleeding demonstrated an association between calcific aortic stenosis and recurrent melena from bleeding arteriovenous malformations [1]. Although past management included selective angiography [2] and blind right colectomy [3], subsequent advances in flexible endoscopic techniques demonstrated the safety and effectiveness of electrocautery via colonoscopy for management of these lesions [4], thereby highlighting the contribution of the gastroenterologist to the identification and management of bleeding AE. …
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Williams RC Jr. Aortic stenosis and unexplained gastrointestinal bleeding. Arch Intern Med. 1961;108:859–863.CrossRefPubMed
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Rogers HG, Adler F. Hemangiomas of the cecum. Colonoscopic diagnosis and therapy. Gastroenterology. 1976;71:1079–1082.CrossRefPubMed
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Chalasani N, Cotsonis G, Wilcox CM. Upper gastrointestinal bleeding in patients with chronic renal failure: role of vascular ectasia. Am J Gastroenterol. 1996;91:2329–2332.PubMed
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Grooteman KV, Holleran G, Matheeuwsen M, van Geenen EJM, McNamara D, Drenth JPH. A risk assessment of factors for the presence of angiodysplasias during endoscopy and factors contributing to symptomatic bleeding and rebleeds. Dig Dis Sci. (Epub ahead of print). https://​doi.​org/​10.​1007/​s10620-019-05683-7.
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Kolb JM, Flack KF, Chatterjee-Murphy P, et al. Locations and mucosal lesions responsible for major gastrointestinal bleeding in patients on warfarin or dabigatran. Dig Dis Sci. 2018;63:1878–1889.CrossRefPubMed
Metadata
Title
Risk Stratification of Angioectasia as a Cause of Gastrointestinal Bleeding: Untangling the Spider’s Web?
Authors
Dejan Micic
Neil Sengupta
Publication date
01-10-2019
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 10/2019
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-019-05750-z

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