Arenas Ricart J, Cremades Mira A, Almenar del Poyo L, Flor Civera B, Ruiz del Castillo J, Ferrando Cucarella J, Smith Agreda V, Llombart Bosch A, Gómez-Ferrer Bayo F
Servicio de Cirugía Visceral, Hospital Clínico Universitario, Servei Valencia de Salut.
Rev Esp Enferm Dig. 1990 Sep;78(3):171-4.
All the previous studies which have associated arteriovenous malformations of the colon with chronic inflammatory disease have always been performed on a diseased intestine. This study, which uses the intravascular injection of resin, shows morphological evidence that angiodysplasia of the colon and intestinal inflammatory disease can coexist independently. This fact suggests that in cases of severe hemorrhage in a patient with inflammatory disease of the small intestine, it cannot simply be assumed that it originates in the macroscopically abnormal intestine, and that angiographic examination is a wise measure to rule out the possibility of arteriovenous malformations in the "normal" intestine.
以往所有将结肠动静脉畸形与慢性炎症性疾病相关联的研究，均是在病变肠段上进行的。本研究采用血管内注射树脂的方法，显示出形态学证据，表明结肠血管发育异常与肠道炎症性疾病可独立共存。这一事实表明，在患有小肠炎症性疾病的患者发生严重出血的情况下，不能简单地认为出血源于宏观上异常的肠道，血管造影检查是排除“正常”肠道中动静脉畸形可能性的明智措施。
