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Endoscopy and drugs have a role in the treatment of GI angiodysplasia

机译:内窥镜检查和药物在胃肠道血管增生的治疗中有作用

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We agree with Khan's comments that drugs have a role in the treatment of GI angiodysplasia that is diffuse in nature and often with difficult accessibility. Nowadays, most patients with this disease are diagnosed by wireless capsule endoscopy and single- and double-balloon enteroscopy.Different endoscopic treatments have been described, although most are case reports or series with few patients. Endoscopic treatment can be applied as laser, multipolar probe, heater probe, argon plasma coagulation (APC), contact endoscopic mucosal ablation with radiofrequency using HALO90, cryoablation, band ligation, and endo-looping. APC is widely accepted to treat lesions with acceptable low risk in the stomach, gut, and distal colon. In the proximal colon, however, perforation is the main inconvenience but can be avoided by submucosal injection of saline solution.
机译:我们同意Khan的观点,即药物在胃肠道血管增生的治疗中具有一定作用,这种增生本质上是扩散性的,并且通常难以获得。如今,大多数患者已通过无线胶囊内窥镜检查,单气囊和双气囊肠镜检查得到了诊断。尽管大多数病例报告或系列报道很少,但已描述了不同的内镜治疗方法。内窥镜治疗可以应用为激光,多极探针,加热器探针,氩气血浆凝结(APC),使用HALO90射频接触内窥镜黏膜消融术,冷冻消融术,带结扎术和内循环术。 APC被广泛接受用于治疗在胃,肠和远端结肠中具有可接受的低风险的病变。然而,在近端结肠中,穿孔是主要的不便之处,但是可以通过粘膜下注射盐溶液来避免。

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