Multiple Organ Gastrointestinal Diseases and Management of Vascular Lesions of the Gastrointestinal Tract arterio-venous deformations as angiodysplasia and Dieulafoy's lesion, venous ectasias, telangiectasia’s

CASE SERIES | Open Access

Volume 2022 - 1 | Article ID 206 | http://dx.doi.org/10.51521/WJCRCI.2022.1101

Multiple Organ Gastrointestinal Diseases and Management of Vascular Lesions of the Gastrointestinal Tract arterio-venous deformations as angiodysplasia and Dieulafoy's lesion, venous ectasias, telangiectasia’s

Academic Editor: Guangyu Li

Received 2022-01-11
Revised 2022-02-16
Accepted 2022-02-26
Published 2022-03-04

JIN IMAIA,^B,#, HITOSHI ICHIKAWA^B,C,MOTOKI KANEKO^A,B,HIROYUKI ITO^B, SHINJI TAKASHIMIZU^B, TAKAYUKI SHIRAI^B,TAKUMA TAJIRI^D, NORIHITO WATANABE^B, AND HIDEKAZU SUZUKIA

^aDepartment of Gastroenterology, Tokai University School of Medicine, Kanagawa, Japan

^bDepartment of Gastroenterology, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan

^cCenter for Preventive Medicine, Keio University School of Medicine, Tokyo, Japan

^dDepartment of Pathology, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan

Corresponding Author: Jin Imai, Department of Gastroenterology, Tokai University School of Medicine, Kanagawa, Japan, Email: pj.u-iakot@iami.jp

Citation: Jin Imai (2022) Multiple Organ Gastrointestinal Diseases and Management of Vascular Lesions of the Gastrointestinal Tract. World J Case Rep Clin Img. 2022 Jan-Mar; 01(1): 01-14.

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ABSTRACT

Vascular lesions of the gastrointestinal (GI) tract include arterio-venous deformations as angiodysplasia and Dieulafoy's lesion, venous ectasias (multiple phlebectasias and haemorroids), telangiectasia’s which can be associated with heritable hemorrhagic teleangiectasia (HHT), Turner's pattern and systemic sclerosis, hemangiomas’, angiosarcoma's and diseases of connective towel affecting blood vessels as pseudoxanthoma elasticum and Ehlers-Danlos's complaint. As a group, they're fairly rare lesions that still may be a major source of upper and lower gastrointestinal bleeding. Clinical donation is variable, ranging from asymptomatic cases over iron insufficiency anaemia to acute or intermittent bleeding that may be life- hanging. Likewise, cases may present with other symptoms, e.g. pain, dysphagia, odynophagia, the presence of a palpable mass, intussusception, inhibition, haemodynamic problems performing from high cardiac affair, lymphatic abnormalities with protein loosing enteropathy and ascites, or dermatological and physical features in syndromal cases. Opinion can generally be made using endoscopy, occasionally with fresh vivisection. Barium radiography, angiography, intraoperative enteroscopy, tagged red blood cell checkup, CT- checkup and MRI- checkup may offer fresh information. Treatment can be characteristic, including iron supplements and transfusion remedy or causal, including remedial endoscopy (ray, electrocautery, heater inquiry or injection sclerotherapy), remedial angiography and surgery. The mode of treatment is of course depending on the mode of donation and other factors similar as associated disorders. However, pharmacological remedy may be warranted, if endoscopic or angiographic remedy is insolvable and surgical intervention not indicated. Good results have been reported with different medicines, albeit utmost of them haven't been tested in large trials.

KEYWORDS: Gastrointestinal Tract, Vascular Lesions, GI bleeding, Angiography, Colonoscopy, CT and MRI