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Vascular malformations of the gastrointestinal tract

Gordon, FH; Watkinson, A; Hodgson, H; (2001) Vascular malformations of the gastrointestinal tract. Best Practice and Research Clinical Gastroenterology , 15 (1) 41 - 58.

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Abstract

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

Type:Article
Title:Vascular malformations of the gastrointestinal tract
Additional information:UI - 21255248 LA - eng PT - Journal Article PT - Review PT - Review, Tutorial DA - 20010517 IS - 1521-6918 SB - IM CY - England
Keywords:Affect, age, anaemia, Angiodysplasia, Angiography, ANOMALIES, As, BLEB NEVUS SYNDROME, Bleeding, CIRRHOTIC-PATIENTS, coagulation, Condition, diagnosis, DIEULAFOY LESION, discrete, EHLERS-DANLOS-SYNDROME, elderly, elderly patients, English, ESTROGEN-PROGESTERONE, Form, Gastrointestinal, gastrointestinal bleeding, gastrointestinal tract, genetic, haemangioma, Heat, hereditary, hereditary haemorrhagic telangiectasia, HEREDITARY HEMORRHAGIC TELANGIECTASIA, JEJUNAL PHLEBECTASIA, Laser, lesion, Lesions, local, localized, malformation, Malformations, MASS, May, MINORITIES, Other, Patient, patients, Peutz-Jeghers Syndrome, PSEUDOXANTHOMA ELASTICUM, RD, recognition, Review, Sclerotherapy, Skin, surgery, telangiectasia, TERM FOLLOW-UP, TRACT, treatment, vascular, vascular anomaly, abnormalities, Affect, Aged, Arteries, Arteriovenous Malformations, blood supply, Endoscopy, Gastrointestinal, Female, Gastric Antral Vascular Ectasia, Gastrointestinal Hemorrhage, Gastrointestinal Neoplasms, Gastrointestinal System, Hemangioma, IM, LA, Male, Methods, pathology, Prognosis, radiography, Telangiectasis, Vascular Diseases, Veins
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Medicine (Division of)

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