Angiodysplasia of the Colon
Condition
(Colonic Angiodysplasia, Arteriovenous Malformations [AVM] of the Colon)
Definition
Angiodysplasia of the colon is when blood vessels in the colon (large intestine) enlarge. They may become weak and lead to bleeding in the digestive system.
Treatment can improve outcomes.
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Causes
The exact cause of angiodysplasia of the colon is not known. It may be part of the aging process.
Risk Factors
This problem is more common in adults over 50. Other things that may raise the risk are:
- Chronic kidney failure
- History of digestive bleeding
- Heart disease
Symptoms
Symptoms of angiodysplasia of the colon may be:
- Dark, tarry stools (poop)
- Bleeding from the rectum
- Weakness
- Tiredness
- Problems breathing
Diagnosis
The doctor will ask about symptoms and past health. A physical exam will be done.
Blood and stool may be tested.
Images of internal structures may be taken with:
- Upper GI endoscopy
- Colonoscopy
- Capsule endoscopy
- Abdominal CT scan
- Angiography
These tests will be used to help make the diagnosis.
Treatment
Treatment may not be needed. The problem often goes away on its own. People who do need treatment may have:
- A colonoscopy that uses heat to seal bleeding blood vessels
- Angiography to clot the blood supply to the bleeding
- Medicines to prevent bleeding
- Surgery to remove part of the colon—if bleeding is life-threatening
Prevention
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 RESOURCES:
Canadian Association of Gastroenterology
Canadian Digestive Health Foundation
American Geriatrics Society Foundation for Health in Aging
National Institute of Diabetes and Digestive and Kidney Diseases
CANADIAN RESOURCES:
Canadian Association of Gastroenterology
Canadian Digestive Health Foundation
References
- Angiodysplasia of the GI tract. American College of Gastroenterology website. Available at: https://gi.org/topics/angiodysplasia-of-the-gi-tract.
- Gastrointestinal angiodysplasia. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/gastrointestinal-angiodysplasia.
- Jackson CS, Strong R. Gastrointestinal angiodysplasia: diagnosis and management. Gastrointest Endosc Clin N Am. 2017;27(1):51-62.
Contributors
- Daniel A. Ostrovsky, MD
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