Angiodysplasia of the Colon
(Colonic Angiodysplasia, Arteriovenous Malformations [AVM] of the Colon)
by Krisha McCoy, MS
Angiodysplasia of the colon occurs when blood vessels in the colon (large intestine) enlarge. They may become fragile and result in occasional bleeding in the gastrointestinal (GI) tract.
Angiodysplasia of the colon is caused by dilated connections between veins and capillaries or arteries in the colon.
Risk Factors TOP
Factors that may increase your chance of angiodysplasia of the colon include:
Symptoms of angiodysplasia of the colon may include:
You will be asked about your symptoms and medical history. A physical exam will be done.
Your blood and stool may be tested.
Imaging tests help evaluate internal structures. Some may use contrast material to make them easier to see. Imaging tests may include:
Talk with your doctor about the best treatment plan for you. Treatment may not be necessary, since nearly all of cases of angiodysplasia of the colon stop bleeding on their own. Treatment options include the following:
Your doctor can often treat tissues with heat to seal bleeding blood vessels during a colonoscopy. Rebleeding is common.
The blood supply to the bleeding area can be clotted through angiography.
Medical Therapy TOP
Medications called somatostatin analogs may be used to prevent bleeding in some people.
Surgery to remove the affected area of the colon may sometimes be necessary.
There are no current guidelines to prevent angiodysplasia of the colon.
American Geriatrics Society Foundation for Health in Aging
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Association of Gastroenterology
Canadian Digestive Health Foundation
Gastrointestinal angiodysplasia. EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated July 14, 2015. Accessed March 16, 2018.
6/19/2014 DynaMed Plus Systematic Literature Surveillance http://www.dynamed... : Jackson CS, Gerson LB. Management of gastrointestinal angiodysplastic lesions (GIADs): A systematic review and meta-analysis. Am J Gastroenterol. 2014;109(4):474-483.
Last reviewed March 2018 by EBSCO Medical Review Board James Cornell, MD
Last Updated: 6/19/2014
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at email@example.com. Our Health Library Support team will respond to your email request within 2 business days.