Hereditary hemorrhagic telangiectasia and other intestinal vascular anomalies

Vascular lesions in the gastrointestinal tract have been increasingly recognized as important causes of bleeding. Patients with bleeding gastric and small bowel vascular ectasia often pose difficult diagnostic and management problems; they require numerous transfusions, repeated hospital admissions,...

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Bibliographic Details
Published inThe Gastroenterologist Vol. 4; no. 3; p. 203
Main Author Korzenik, J R
Format Journal Article
LanguageEnglish
Published United States 01.09.1996
Subjects
Blood Vessels - abnormalities
Humans
Intestine, Small - blood supply
Stomach - blood supply
Telangiectasia, Hereditary Hemorrhagic - diagnosis
Telangiectasia, Hereditary Hemorrhagic - etiology
Telangiectasia, Hereditary Hemorrhagic - therapy
Terminology as Topic
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Summary:Vascular lesions in the gastrointestinal tract have been increasingly recognized as important causes of bleeding. Patients with bleeding gastric and small bowel vascular ectasia often pose difficult diagnostic and management problems; they require numerous transfusions, repeated hospital admissions, and multiple endoscopic procedures. With improving endoscopic options and emerging medical therapies, management of these patients is changing. This set of disorders requires a variety of approaches tailored to the particular disorder and clinical manifestations. Hereditary hemorrhagic telangiectasia (HHT) is a disorder that can involve multiple organ systems outside the gastrointestinal tract in a variety of clinical presentations. Screening all patients with HHT for pulmonary and cerebral arteriovenous malformations to prevent significant sequelae is a critical element of care. This review focuses on advances in our knowledge and treatment of HHT and other gastric and small intestinal vascular ectasia.
ISSN:1065-2477