The clinical and pathological aspects of digestive tract bleeding caused by angiodeformity of the bile duct:report of 21 cases
- VernacularTitle:肠道血管畸形致消化道出血的诊断和治疗(附21例临床报告)
- Author:
Guilan ZHAO
;
Shuyong PENG
;
Fan ZHOU
- Publication Type:Journal Article
- Keywords:
Telangiectasia hereditary hemorrhagic Gastrointestinal hemorrhage Hemangioma capillary
- From:
Chinese Journal of General Surgery
1994;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
From 1989 to Apr. 1997, 21 patients were admitted for gastrointestinal bleeding caused by binary angiodeformity. Diagnosis was made in 16 out of 18 undergoing selective celiac angiography with the occuracy rate of 88. 9%. Endoscopy found the deformity in 6 out of 14 (42. 8%). Bleeding stopped in 9 of 11 treated conservatively. Surgery was successful in all 9 cases,and endoscopic cautery successfully stopped the bleeding in the remaining one. The authors came to the conclusion that selective celiac angiography was most useful for the diagnosis. Drug therapy and endoscopic cautery effect only temporary hematostasis.