Igawa et al identified predictors for small bowel angioectasia. These can help to identify a patient who may require an intervention to reduce gastrointestinal bleeding. The authors are from Hiroshima University in Japan.
Method of detection: capsule endoscopy or balloon endoscopy
Predictors for small bowel angioectasia on multivariate analysis:
(1) cirrhosis (odds ratio 4.8)
(2) cardiovascular disease, including aortic stenosis (odds ratio 2.9)
Other factors from univariate analysis:
(1) age >= 65 years
Endoscopic management of lesions with oozing may involve:
(1) polidocanol injection
(2) argon plasma coagulation
(3) clipping
Note: Hereditary Hemorrhagic Telangiectasia (HHT) was not considered in the study.
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