胃肠道血管发育异常的研究进展
Research Progress of Gastrointestinal Vascular Dysplasia
DOI: 10.12677/acm.2024.1472049, PDF,   
作者: 李佳新:通辽市科尔沁区第四人民医院普外科,内蒙古 通辽
关键词: 胃肠道血管发育异常发病机制诊断治疗GIAD Pathogenesis Diagnosis Treatment
摘要: 胃肠道血管发育异常是一种罕见但临床上重要的血管异常,见于胃肠道粘膜和粘膜下层。它们的临床影响各不相同,从无症状的口腔感染到危及生命的出血。在这篇综述中,我们批判性地评价了当前文献中关于这些病变的病理、临床表现和治疗的关键发现。
Abstract: Gastrointestinal vascular dysplasia is a rare but clinically important vascular abnormality found in the gastrointestinal mucosa and submucosa. Their clinical effects vary from asymptomatic oral infections to life-threatening bleeding. In this review, we critically evaluate key findings in the current literature regarding the pathology, clinical presentation, and treatment of these lesions.
文章引用:李佳新. 胃肠道血管发育异常的研究进展[J]. 临床医学进展, 2024, 14(7): 550-554. https://doi.org/10.12677/acm.2024.1472049

参考文献

[1] Foutch, P.G., Rex, D.K. and Lieberman, D.A. (1995) Prevalence and Natural History of Colonic Angiodysplasia among Healthy Asymptomatic People. The American Journal of Gastroenterology, 90, 564-567.
[2] 李宁, 陈东风. 胃肠血管发育不良的流行病学、发病机制、诊断和治疗[J]. 胃肠病学和肝病学杂志, 2016, 25(11): 1312-1316.
[3] Heer, M., Sulser, H. and Hany, A. (1987) Angiodysplasia of the Colon: An Expression of Occlusive Vascular Disease. Hepatogastroenterology, 34, 127-131.
[4] 李一男, 戈之铮. 胃肠道血管畸形的形成机制及治疗现状[J]. 国际消化病杂志, 2013, 33(3): 172-175.
[5] 赵曲川, 张玫. 老年人胃肠道血管畸形的临床特点研究[J]. 胃肠病学和肝病学杂志, 2017, 26(2): 168-171
[6] Kringen, M.K., Narum, S., Lygren, I., Seljeflot, I., Sandset, P., Trøseid, A.S., et al. (2010) Reduced Platelet Function and Role of Drugs in Acute Gastrointestinal Bleeding. Basic & Clinical Pharmacology & Toxicology, 108, 194-201. [Google Scholar] [CrossRef] [PubMed]
[7] Igawa, A., Oka, S., Tanaka, S., Kunihara, S., Nakano, M., Aoyama, T., et al. (2015) Major Predictors and Management of Small-Bowel Angioectasia. BMC Gastroenterology, 15, Article No. 108. [Google Scholar] [CrossRef] [PubMed]
[8] DeBenedet, A.T., Saini, S.D., Takami, M. and Fisher, L.R. (2010) Do Clinical Characteristics Predict the Presence of Small Bowel Angioectasias on Capsule Endoscopy? Digestive Diseases and Sciences, 56, 1776-1781. [Google Scholar] [CrossRef] [PubMed]
[9] Junquera, F., Feu, F., Papo, M., Videla, S., Armengol, J.R., Bordas, J.M., et al. (2001) A Multicenter, Randomized, Clinical Trial of Hormonal Therapy in the Prevention of Rebleeding from Gastrointestinal Angiodysplasia. Gastroenterology, 121, 1073-1079. [Google Scholar] [CrossRef] [PubMed]
[10] Garrido, A., Sayago, M., López, J., León, R., Bellido, F. and Márquez, J.L. (2012) Thalidomide in Refractory Bleeding Due to Gastrointestinal Angiodysplasias. Revista Española de Enfermedades Digestivas, 104, 69-71. [Google Scholar] [CrossRef] [PubMed]
[11] 张洁红, 蔡慧雅, 蔡丽萍, 等. 注射用生长抑素药物利用评价标准的建立及应用[J]. 药物流行病学杂志, 2024, 33(4): 381-387.
[12] Katsinelos, P., Gkagkalis, S., Paroutoglou, G., Chatzimavroudis, G., Fasoulas, K., Zavos, C., et al. (2014) A Prospective Comparative Study of Blended and Pure Coagulation Current in Endoscopic Mucosal Resection of Large Sessile Colorectal Polyps. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 24, 226-231. [Google Scholar] [CrossRef] [PubMed]
[13] 吉茜茜, 田尧, 马林. 内镜黏膜切除术联合氩等离子体凝固术治疗结肠息肉的疗效观察和术后延迟性出血的危险因素分析[J]. 消化肿瘤杂志(电子版), 2022, 14(4): 406-411.
[14] Lee, T.Y., Yeh, H.Z., Yang, S.S. and Chang, C.S. (2010) Successful Application of Haemoclips plus Argon Plasma Coagulation for Angioectasia Bleeding with Underlying Arteriovenous Malformation in the Colon. Colorectal Disease, 12, e180-e181. [Google Scholar] [CrossRef] [PubMed]
[15] 周芳, 李海. 消化内镜下两种类型止血夹治疗上消化道出血临床效果观察[J]. 中国医疗器械信息, 2023, 29(14): 157-159.
[16] 孙亚男, 李鹏, 丁惠国, 等. 食管静脉曲张首次硬化剂治疗后早期再出血的危险因素[J]. 临床肝胆病杂志, 2019, 35(1): 92-97.
[17] 吴云林. 胃肠疾病内镜治疗[C]//中国中西医结合学会消化系统疾病专业委员会. 第二十四届全国中西医结合消化系统疾病学术会议专题报告及论文集. 上海: 上海交通大学医学院附属瑞金医院, 2012: 9.
[18] Mirsadraee, S., Tirukonda, P., Nicholson, A., Everett, S.M. and McPherson, S.J. (2011) Embolization for Non-Variceal Upper Gastrointestinal Tract Haemorrhage: A Systematic Review. Clinical Radiology, 66, 500-509. [Google Scholar] [CrossRef] [PubMed]
[19] Douard, R., Wind, P., Panis, Y., Marteau, P., Bouhnik, Y., Cellier, C., et al. (2000) Intraoperative Enteroscopy for Diagnosis and Management of Unexplained Gastrointestinal Bleeding. The American Journal of Surgery, 180, 181-184. [Google Scholar] [CrossRef] [PubMed]
[20] 邵小娟, 陈东风. 111例血管相关性非静脉曲张性上消化道出血临床分析[J]. 胃肠病学, 2017, 22(7): 411-414.
[21] Vedachalam, S., Balasubramanian, G., Haas, G.J. and Krishna, S.G. (2020) Treatment of Gastrointestinal Bleeding in Left Ventricular Assist Devices: A Comprehensive Review. World Journal of Gastroenterology, 26, 2550-2558. [Google Scholar] [CrossRef] [PubMed]