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Gastrointest Endosc. 1996 Jun;43(6):580-3.

Push enteroscopic cauterization: long-term follow-up of 83 patients with bleeding small intestinal angiodysplasia.

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Division of Gastroenterology, Mount Sinai Medical Center, New York, USA.



This study assessed the long-term effectiveness of push enteroscopic cauterization of bleeding intestinal angiodysplasia.


We retrospectively reviewed the clinical course of patients who underwent push and sonde enteroscopy for obscure gastrointestinal bleeding and were diagnosed with intestinal angiodysplasias.


One hundred twelve patients bleeding from small intestinal angiodysplasias were identified. After excluding those lost to follow-up (29), data were collected from 83 patients. Fifty-five patients (29 men; mean age, 73 years; mean units of packed red blood cells transfused, 21.4; average bleeding history, 22 months) were cauterized. Twenty-eight patients (12 men; mean age, 71; mean units of packed red blood cells transfused, 15.8; average bleeding history, 22 months) were not cauterized. The noncauterized group (follow-up, 26 +/- 14 months; mean +/- SD) continued to bleed, requiring 2.16 +/- 3.86 units of packed red blood cells transfused per month (units/month) before and 0.97 +/- 1.46 units/month after diagnosis (NS). The cauterized group (follow-up, 30 +/- 18 months) significantly improved, requiring 2.40 +/- 2.97 units/month before treatment and 0.32 +/- 0.91 units/month after cauterization (p < 0.0001, paired t test).


Cauterization of endoscopically accessible small intestinal angiodysplasias may decrease rebleeding.

[Indexed for MEDLINE]

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