2005, Number 2
<< Back Next >>
Rev Med Hosp Gen Mex 2005; 68 (2)
Gastric angiodysplasia. Gastric angiodysplasia. A cause of digestive tract hemorrhage. Report of two cases
Torres-Muñoz R, Lazos-Ochoa M, Macías DM
Language: Spanish
References: 24
Page: 94-98
PDF size: 104.55 Kb.
ABSTRACT
Angiodysplasia is a vascular dilation that affect submucosal veins, venules and capillary vessels of the mucosa of diverse organs. The etiology of angiodysplasia is unknown, although most of them are acquired as a result of a degenerative process associated with aging. The sites affected more frequently are the gastrointestinal tract, uterus and bladder. In the gastrointestinal tract most the of cases are detected in the cecum and ascending colon.. The incidence of AD in the upper gastrointestinal tract is unknown and lesions occur most often in the stomach, followed by the duodenum. We present two cases of gastric AD in which the cause of death was hypovolemic shock as a consequence of upper gastrointestinal tract bleeding.
REFERENCES
Gordon FH. Vascular malformations of the gastrointestinal tract. Best Pract Res Clin Gastroenterol 2001; 15: 41-58.
Meyer CT, Troncale FJ, Galloway S. Arteriovenous malformations of the bowel. Analysis of 22 cases and review of the literature. Medicine 1981; 60: 36-48.
Guttmacher AE, Marchuk DA, White RI. Hereditary hemorrhagic telangiectasia. N Engl J Med 1995; 333: 918-924.
Boley SJ, Sammartano R, Adams A, DiBiase A, Kleinhaus S, Sprayregen S. On the nature and etiology of vascular ectasias of the colon. Degenerative lesions of aging. Gastroenterology 1977; 72: 650-660.
Boley SJ, Sammartano R, Brandt LJ et al. Vascular ectasias of the colon. Surg Gynecol Obstet 1979; 149: 353-359.
Boley SJ, Brandt LJ. Vascular ectasias of the colon. Dig Dis Sci 1986; 31: 26S-42S.
Foutch PG. Angiodysplasia of the gastrointestinal tract. Am J Gastroenterol 1993; 88: 807-818.
Sharma R, Gorbien MJ. Angiodysplasia and lower gastrointestinal tract bleeding in elderly patients. Arch Intern Med 1995; 155: 807-812.
Vuong PN, Colin B. The pathology of the vessels. New York: Springer, 2002; 383-391.
Machicado GA, Jensen DM. Upper gastrointestinal angiomata:diagnosis and treatment. Gastrointest Endosc Clin North Am 1991; 1: 241-262.
Gilmore Pr. Angiodysplasia of the upper gastrointestinal tract. J Clin Gastroenterol 1988; 10: 386-394.
Marwick T, Kerlin P. Angiodysplasia of the upper gastrointestinal tract: Clinical spectrum in 41 cases. J Clin Gastroenterol 1986; 8: 404-407.
Gunnlaugsson O. Angiodysplasia of the stomach and duodenum. Gastrointestinal Endosc 1985; 31: 251-254.
Clouse RE, Costigan DJ, Mills BA et al. Angiodysplasia as a cause of upper gastrointestinal bleeding. Arch Intern Med 1985; 145: 458-461.
Fleischer D. Etiology and prevalence of severe persistent upper gastrointestinal bleeding. Gastroenterology 1983; 84: 538-543.
Boley SJ, Brandt LJ, Frank MS. Severe lower intestinal bleeding: diagnosis and treatment. Clin Gastroenterol 1981; 10: 65-69
Hemingway AP. Angiodysplasia: Current concepts. Pstgrad Med J 1988; 64: 259-263.
Quintero E, Pique JM, Bombi JA et al. Upper gastrointestinal bleeding caused by gastroduodenal vascular malformations: incidence, diagnosis and treatment. Dig Dis Sci 1986; 31: 897-905.
Lewis B, Salomon P, Rivera-MacMurray S et al. Does hormonal therapy have any benefit for bleeding angiodysplasia? J Clin Gastroenterol 1992; 15: 99-103.
Zuckerman Gr, Cornette GL, Clouse RE et al. Upper gastrointestinal bleeding in patients with chronic renal failure. Ann Intern Med 1985; 102: 588-592.
Duray PH, Marcal JM, Li Volsi VA et al. Small intestinal angiodysplasia in the elderly. J Clin Gastroenterol 1984; 6: 311-319.
Shah IA. Angiodysplasia: Morphologic diagnosis. Endoscopy 1988; 20: 149-151.
Gordon F. Hormonal therapy for gastrointestinal angiodysplasia. Lancet 2002; 359: 1630-1631
Tsuneo T, Yoshihiko K, Hiromichi S et al. Judicious usage of estrogen/progesterone for angiodysplasia. Artificial Organs 2005; 29: 88-90.