Angiodysplasia Flashcards

1
Q

What is Angiodysplasia?

A

Is the vascular malformation of the submucosa in the gut.

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2
Q

What does this vascular malformation cause?

A

Venous dilation and tortuosity

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3
Q

Where are they commonly found?

A

Ceacum or ascending colon

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4
Q

What are signs and symptoms?

A
  • Melena

- Anaemia

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5
Q

What is the pathophysiology?

A
  1. Intermittent contractions of the bowel wall which obstructs drainage of the veins in the bowel wall
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6
Q

How is it commonly diagnosed?

A

Endoscopy
Pill endoscopy
Angiography

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7
Q

What is treatment

A
  1. Blood transfusion - anaemic
  2. Endoscopic ablation - argon plasma coagulation
  3. Angiography and emobolisation
  4. Bowel resection
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8
Q

What if there is bleeding from multiple sites?

A
  1. antifibirnolytics - transexemic acid

2. Octreotide

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