angiodisplasia expo
DESCRIPTION
caso muy interresanteTRANSCRIPT
![Page 1: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/1.jpg)
![Page 2: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/2.jpg)
Acta Médica Peruana 2006, 23 (3): 173-179
![Page 3: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/3.jpg)
Rev. Gastroenterología Perú. 2001; 21 (4): S12- S13: Nº49
![Page 4: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/4.jpg)
Acta Médica Peruana 2006, 23 (3): 152-55
![Page 5: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/5.jpg)
HEMORRAGIA GASTROINTESTINAL DE
ORIGEN OSCURO
Gastroenterology and Hepatology 2009, 5(12):839-850
![Page 6: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/6.jpg)
![Page 7: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/7.jpg)
Anormalidad vascular más
común en tracto
gastrointestinal
Causa más común de Hemorragia del
tracto digestivo bajo en mayores de 60
añosAliment Pharmacol Ther 2014; 39: 15-34
![Page 8: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/8.jpg)
Lesión degenerativa vinculada con el envejecimiento
No se asocia con angiomas cutáneos ni viscerales
Predominan en ciego y
colon ascendente
Mayoría son lesiones
múltiples, y su diámetro
es < 10 mm
Aliment Pharmacol Ther 2014; 39: 15-34
![Page 9: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/9.jpg)
Rev col Gastroenterol 2004, 19(4): 269-76
![Page 10: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/10.jpg)
Rev col Gastroenterol 2004, 19(4): 269-76
ESTOMAGO Y DUODENO
Causa de Sangrado GI: 4-7%
Localización: Estomago Proximal
Tipo Sang: Visible
27%
Oculto 22%
Incidental 51%
![Page 11: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/11.jpg)
Rev Col Gastroenterol 2004, 19(4): 269-76
INTESTINO DELGADO
En < 50 a. SGOO es 5-7%
En > 50 a. se eleva a 35%
Es evaluado eficientemente
c/
video capsula endoscópica
COLON
Sitio mas común del TD:
Ciego 37%
Colon Ascendente 17%
Colon Trasverso
7%
Colon Descendente 7%
Colon Sigmoides
18%
Recto 14%
![Page 12: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/12.jpg)
Más del 90% de los casos, el sangrado se
detiene espontáneamente
12
SANGRADO TIPICO ANGIODISPLASIA
Recurrente y de intensidad menor, aunque en
15 % se presenta con hemorragia masiva
Puede presentar heces de:
• Color rojo brillante
• Coloración pardusca
• MelenaRev col Gastroenterol 2004, 19(4): 269-76
![Page 13: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/13.jpg)
Rev col Gastroenterol 2004, 19(4): 269-76
Se ha encontrado aumento de la expresión de
factores angiogénicos
![Page 14: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/14.jpg)
Aliment Pharmacol Ther 2014; 39: 15-34
Aumento de presión
intraluminal y la
contracción, la vena
se obstruye y dilata
Venas y venulas que
drenan en la mucosa
son afectadas
Anillo capilar se
dilata y se produce
una pequeña fistula
arteriovenosa
“Llenado venoso precoz”, sello
angiografico de esta lesión
![Page 15: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/15.jpg)
Dilatados
Distorsionados
Paredes delgadas
Tapizados de endotelio
Vasos dilatados y
deformados que
atraviesan la muscular
de la mucosa
![Page 16: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/16.jpg)
![Page 17: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/17.jpg)
Aliment Pharmacol Ther 2014; 39: 15-34
![Page 18: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/18.jpg)
Aliment Pharmacol Ther 2014; 39: 15-34
![Page 19: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/19.jpg)
![Page 20: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/20.jpg)
ENTEROSCOPÍA
DOBLE BALÓN
![Page 21: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/21.jpg)
Gastrointestinal Endoscopy. 2010; 72(3) : 471-479.
![Page 22: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/22.jpg)
Gastrointestinal Endoscopy. 2010; 72(3) : 471-479
![Page 23: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/23.jpg)
![Page 24: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/24.jpg)
Gastrointestinal Endoscopy. 2010; 72(3) : 471-479
![Page 25: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/25.jpg)
Gastrointestinal Endoscopy. 2010; 72(3) : 471-479
![Page 26: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/26.jpg)
Gastrointestinal Endoscopy. 2010; 72(3) : 471-479
![Page 27: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/27.jpg)
Aliment Pharmacol Ther 2014; 39: 15-34
![Page 28: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/28.jpg)
Aliment Pharmacol Ther 2014; 39: 15-34
![Page 29: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/29.jpg)
Aliment Pharmacol Ther 2014; 39: 15-34
![Page 30: Angiodisplasia expo](https://reader034.vdocuments.pub/reader034/viewer/2022052602/559ad6521a28abe9078b4795/html5/thumbnails/30.jpg)
Aliment Pharmacol Ther 2014; 39: 15-34