Multifocal Small Bowel Angioectasias: Managed with Innovative, Nonresectional Surgical Procedure

Abstract: Gastrointestinal (GI) angioectasias/angiodysplasias are the most frequent vascular lesions of GI tract, responsible for ∼5 to 6% of GI bleedings. It commonly involves the small bowel, making it difficult to diagnose and manage endoscopically. Though medical management has been used to prevent bleeding, it has only a limited role in acute severe hemorrhage. In such cases, surgical resection remains the only practical option. However, multiple lesions pose a unique challenge, as resection may not be advisable for long length of bowel involvement. Here, we report a case of recurrent GI bleeding due to multifocal small bowel angioectasias who was managed by a novel technique of full-thickness transmural sutures under intraoperative enteroscopic guidance. At 6 months follow-up, no new bleeding episodes were observed.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Multifocal Small Bowel Angioectasias: Managed with Innovative, Nonresectional Surgical Procedure ; volume:08 ; number:03 ; year:2022 ; pages:e169-e173
The surgery journal ; 08, Heft 03 (2022), e169-e173

Contributor
Ghosh, Nalini Kanta
Singh, Ashish
Rahul, Rahul
Singh, Rajneesh Kumar
Goel, Amit
Saxena, Rajan

DOI
10.1055/s-0042-1744151
URN
urn:nbn:de:101:1-2022101019375199237428
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:29 AM CEST

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Associated

  • Ghosh, Nalini Kanta
  • Singh, Ashish
  • Rahul, Rahul
  • Singh, Rajneesh Kumar
  • Goel, Amit
  • Saxena, Rajan

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