Angiodysplasia history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Nikita Singh, M.D.[2]
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Overview
Majority of the patients with angiodysplasia are asymptomatic with only fewer than 10% of patients presenting with active gastrointestinal bleed. Patients with upper gastrointestinal tract angiodysplasia often present with hematemesis whereas, colonic angiodysplasia presents with chronic, low grade bleeding. Colonic angiodysplasia patients may present with hematochezia, melena, occult blood in stool, iron deficiency anemia and occasionally with acute, massive gastrointestinal bleed.
History
- Majority of the patients with angiodysplasia are asymptomatic with only fewer than 10% of patients presenting with active gastrointestinal bleed.
- The gastrointestinal bleed in angiodysplasia is venous in nature, therefore, slow and painless but recurrent.[1]
- Bleeding is usually chronic or recurrent and, in most cases, low grade and painless because of the venous source.[2]
- Patients with upper gastrointestinal tract angiodysplasia often present with hematemesis whereas, colonic angiodysplasia presents with chronic, low grade bleeding. Colonic angiodysplasia patients may present with hematochezia, melena, occult blood in stool, iron deficiency anemia and occasionally with acute, massive gastrointestinal bleed.
Symptoms
- Hematochezia
- Melena
- Hematemesis (upper GI angiodysplasia)
- Symptoms of iron deficiency anemia like fatigue, irritability, weakness etc.
- Massive gastrointestinal bleed (infrequent)
References
- ↑ Richter JM, Hedberg SE, Athanasoulis CA, Schapiro RH (1984). "Angiodysplasia. Clinical presentation and colonoscopic diagnosis". Dig Dis Sci. 29 (6): 481–5. doi:10.1007/BF01296266. PMID 6609803.
- ↑ Sami SS, Al-Araji SA, Ragunath K (2014). "Review article: gastrointestinal angiodysplasia - pathogenesis, diagnosis and management". Aliment Pharmacol Ther. 39 (1): 15–34. doi:10.1111/apt.12527. PMID 24138285.