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Tailored treatment of intestinal angiodysplasia in elderly

机译：老年人肠道血管增生的量体裁衣治疗

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Background: Angiodysplasia of the gastrointestinal tract is an uncommon, but not rare, cause of bleeding and severe anemia in elderly. Different treatments exist for this kind of pathology.Methods: The aim of this work was to study 40 patients treated for intestinal angiodysplasia with two different kind of endoscopic treatments: argon plasma coagulation (APC) and bipolar electrocoagulation (BEC).Results: Age of patients was similar in both groups (76,2 ± 10.8 years vs 74,8 ± 8,7 years, P = 0,005). Angiodysplasia treated were located in small bowel, right colon, left colon, transverse colon and cecum. We analysed number of treatment, recurrence, hospital discharge, needs of blood transfusions before and after endoscopic treatment. Number of treatment was the same in both groups (1,2 ± 0,2 vs 1,1 ± 0,1, P Conclusions: Treatment of angiodysplasia in elderly is not easy. Different kinds of treatment could be adopted. APC and BEC are both safe and effective. The choice of a treatment should consider several factors: age, comorbidity, source of bleeding. In conclusion we think that treatment of bleeding for angiodysplasia in elder population should be a tailored treatment.
机译：背景：胃肠道血管异型增生是一种常见但并非罕见的老年人出血和严重贫血的病因。方法：这项工作的目的是研究40例接受肠内血管增生的患者，采用两种不同的内窥镜治疗方法：氩等离子体凝结（APC）和双极电凝（BEC）。两组患者相似（76,2±10.8年vs 74,8±8.7年，P = 0,005）。治疗的血管增生症位于小肠，右结肠，左结肠，横结肠和盲肠。我们分析了内镜治疗前后的治疗次数，复发率，出院率，输血需求。两组的治疗次数相同（1,2±0,2 vs 1,1±0.1,1，P）结论：老年人血管增生的治疗并不容易，可以采用不同的治疗方法，APC和BEC是既安全又有效，治疗的选择应考虑年龄，合并症，出血源等几个因素，总的来说，我们认为老年人血管增生的出血治疗应是针对性的。

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