D'Elia G, Lucandri G, Di Giulio E, Stipa F, Barreca M, Castiglia D, Gianotti R, Ziparo V, Stipa S
I Istituto di Clinica Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1994 Oct;15(10):460-5.
Two cases of bleeding gastric angiodysplasia treated with a different approach, on the basis of the endoscopic features, are reported. Arteriovenous malformations may arise from any site of the digestive tract: gastric angiodysplasia represents one of the less frequent localizations, causing 2-5% of upper gastrointestinal bleeding. Several diagnostic tools are currently available and the choice of the most appropriate therapeutic strategy depends on many features: site and number of the lesions, patient's hemodynamic conditions, endoscopic skill. Surgery is preferred only when multiple and disseminated lesions within the gastric wall occur or when endoscopic approach fails.
本文报告了两例根据内镜特征采用不同方法治疗的出血性胃血管发育异常病例。动静脉畸形可发生于消化道的任何部位：胃血管发育异常是较不常见的部位之一，占上消化道出血的2-5%。目前有多种诊断工具，最合适的治疗策略的选择取决于许多因素：病变的部位和数量、患者的血流动力学状况、内镜操作技能。仅当胃壁内出现多发和弥漫性病变或内镜治疗失败时才首选手术治疗。
