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Angiodysplasie du côlon

Angiodysplasia of the colon

  • Published:
Acta Endoscopica

Résumé

L’angiodysplasie du côlon est une cause très fréquente d’hémorragie digestive basse.

Entre février 1974 et mai 1983, l’angiodysplasie du côlon a été diagnostiquée chez 17 malades, dont 11 depuis 1980. Nous avons examiné 8 hommes et 9 femmes dont l’âge se situait entre 51 et 87 ans (moyenne : 68,6 ans) ; trois patients seulement n’avaient pas atteint l’âge de 60 ans.

Ils étaient hospitalisés ð cause d’une hémorragie digestive chronique et intermittente, une hémorragie aiguë et massive (12 %) ou pour une anémie ferriprive (18 %). Le saignement rectal peut s’exprimer par l’émission de sang rouge (47 %) ou non (59 %). Une angiographie pratiquée chez 15 patients a démontré l’angiodysplasie chez 13 (87 %) ; les 2 patients avec angiographie négative ont subi une coloscopie avec des biopsies positives. Deux patients n’ont pas subi d’angiographie : le premier a été opéré en urgence ð cause d’une hémorragie cataclysmique, chez l’autre le diagnostic a été posé par la coloscopie. La majorité des angiodysplasies était localisée au côlon droit (14/17). Le traitement de choix a été une hémicolectomie droite ; une résection du sigmoïde a été exécutée chez 2 patients ; trois patients ont subi une coagulation endoscopique.

Summary

Angiodysplasia of the colon is a common cause of lower intestinal tract bleeding. Between February 1974 and May 1983 angiodysplasia was diagnosed in 17 patients, 11 of them since 1980. The sex ratio was 8 men and 9 women with an age distribution of 51 to 87 years (mean 68,6 years), only 3 of them being younger than 60 years. They presented with a history of chronic intermittent gastrointestinal bleeding, massive bleeding (12 %) or chronic iron deficiency anemia (18 %). The bleeding could be bright red (47 %) as well as melena (59 %). An arteriography was performed in 15 patients and demonstrated angiodysplasia in 13 (87 %) ; the 2 patients with a negative arteriography had a colonoscopy with positive biopsies. Two patients underwent no angiography : the first needed an urgent operation because of massive bleeding and in the other the diagnosis was made by colonoscopy. Most angiodysplastic lesions were located in the right colon (14/17). The treatment of choice was a right hemicolectomy; a resection of the sigmoid was performed in 2 patients and endoscopic coagulation in 3 patients.

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Authors and Affiliations

  1. Department of Radiology, Academic Hospital, De Pintelaan, 185-9000, Gent, Belgium

    M. Kunnen

  2. Department of Gastroenterology, Academic Hospital,, De Pintelaan, 185-9000, Gent, Belgium

    F. Huble, M. De Vos, A. Elewaut & F. Barbier

Authors
  1. F. Huble
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  2. M. De Vos
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  3. A. Elewaut
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  4. M. Kunnen
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  5. F. Barbier
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Huble, F., De Vos, M., Elewaut, A. et al. Angiodysplasie du côlon. Acta Endosc 14, 93–99 (1984). https://doi.org/10.1007/BF02966100

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  • DOI: https://doi.org/10.1007/BF02966100

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