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2026, Number 4

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Acta Med 2026; 24 (4)

From instability to hemostasis: arteriography in jejunal angiodysplasias with acute bleeding

Martínez HO, Su GJ, Ponce MG
Full text How to cite this article 10.35366/123517

DOI

DOI: 10.35366/123517
URL: https://dx.doi.org/10.35366/123517

Language: Spanish
References: 5
Page: 464-466
PDF size: 858.71 Kb.


Key words:

angiodysplasia, mesenteric arteriography, selective embolization.

ABSTRACT

Introduction: jejunal angiodysplasias account for 5-10% of gastrointestinal bleeding cases and up to 40% of those with obscure origin. Case report: a 57-year-old male was diagnosed with jejunal angiodysplasias. Mesenteric arteriography allowed both diagnosis and treatment through selective embolization and surgical resection. Conclusion: arteriography serves as both a diagnostic and therapeutic modality with greater sensitivity and specificity compared to conventional methods.


REFERENCES

  1. Alhamid A, Aljarad Z, Chaar A, Grimshaw A, Hanafi I. Endoscopictherapy for gastrointestinal angiodysplasia. Cochrane Database SystRev. 2024; 9 (9): CD014582. doi: 10.1002/14651858.CD014582.

  2. Sami SS, Al-Araji SA, Ragunath K. Review article: gastrointestinalangiodysplasia – pathogenesis, diagnosis and management. AlimentPharmacol Ther. 2014; 39 (1): 15-34.

  3. Ghassemi KA, Jensen DM. Lower GI bleeding: epidemiology andmanagement. Curr Gastroenterol Rep. 2013; 15 (7): 333.

  4. García-Compeán D, Jiménez-Rodríguez AR, Del Cueto-AguileraÁN, González-González JA, Maldonado-Garza HJ. Diagnostic andtherapeutic challenges of gastrointestinal angiodysplasias: A criticalreview and view points. World J Gastroenterol. 2019; 25 (21):2549–2562.

  5. Funaki B. Superselective embolization of lower gastrointestinalhemorrhage: a new paradigm. Abdom Imaging. 2004; 29 (4): 434-438. doi:10.1007/s00261-003-0150-7.




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Acta Med. 2026;24