ArticleBMC gastroenterology2015
Major predictors and management of small-bowel angioectasia.
Article in BMC gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.
- A Risk Assessment of Factors for the Presence of Angiodysplasias During Endoscopy and Factors Contributing to Symptomatic Bleeding and Rebleeds.Digestive diseases and sciences · 2019Pooled it
- Risk Stratification for Rebleeding in Obscure Gastrointestinal Bleeding After Comprehensive Gastrointestinal Evaluation.DEN open · 2027Article
- Therapeutic Balloon-Assisted Enteroscopy: Recent Advances in the Management of Small Bowel Diseases.DEN open · 2027Review
- Association Between Arterial Calcification and Small Bowel Vascular Lesions: A Comparative Study of Angioectasia and Dieulafoy's Lesions.Digestive diseases and sciences · 2026Article
- Diagnostic and therapeutic yields of balloon-assisted enteroscopy on different subtypes of patients with suspected small bowel bleeding.Journal of the Canadian Association of Gastroenterology · 2026Article
- Endoscopic therapy may be more effective in long-term control of upper gastrointestinal angioectasias when compared with somatostatin analogues.Endoscopy international open · 2026Article
- Life-Threatening Melena from Deep Ileal Angiodysplasia Successfully Treated by Intraoperative Enteroscopy-Guided Segmental Resection: A Case Report.Surgical case reports · 2026Article
- Article
- Effectiveness of Double Balloon Enteroscopy in the Diagnosis and Treatment of Small Bowel Varices.Diagnostics (Basel, Switzerland) · 2025Article
- Evaluation of double-balloon enteroscopy in the management of type 1 small bowel vascular lesions (angioectasia): a retrospective cohort study.BMC gastroenterology · 2025Article
- Higher waist circumference as a risk factor for rebleeding of small bowel angiodysplasia.Translational gastroenterology and hepatology · 2025Article
- Precision enhancement in wireless capsule endoscopy: a novel transformer-based approach for real-time video object detection.Frontiers in artificial intelligence · 2025Article
- Predictive factors of portal hypertensive enteropathy exacerbations based on long-term outcomes.BMC gastroenterology · 2024Article
- Small-Bowel Angioectasias: Are They Responsible for a Real Impact on Survival?GE Portuguese journal of gastroenterology · 2023Article
- Clinical characteristics of Dieulafoy's lesion in the small bowel diagnosed and treated by double-balloon endoscopy.BMC gastroenterology · 2023Article
- Endoscopic injection sclerotherapy for treating recurrent bleeding of small bowel angioectasias.BMC gastroenterology · 2023Article
- Strategic Management of Bleeding Small Bowel Gastrointestinal Angiodysplasias (GIADs): A 12 Year Retrospective Review in a Veteran Population and Cost Comparison.Diagnostics (Basel, Switzerland) · 2023Article
- Multifocal Small Bowel Angioectasias: Managed with Innovative, Nonresectional Surgical Procedure.Surgery journal (New York, N.Y.) · 2022Article
- Characteristics and Treatment Outcomes of Small-bowel Angioectasia in Systemic Sclerosis Patients: A Retrospective Observational Study.Internal medicine (Tokyo, Japan) · 2022Observational
- Risk of Rebleeding in Patients with Small Bowel Vascular Lesions.Internal medicine (Tokyo, Japan) · 2021Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSmall-bowel angioectasias are frequently diagnosed with capsule endoscopy (CE) or balloon endoscopy however, major predictors have not been defined and the indications for endoscopic treatment have not been standardized. The aim of this study was to evaluate the predictors and management of small-bowel angioectasia.
methodsAmong patients with obscure gastrointestinal bleeding (OGIB) who underwent both CE and double-balloon endoscopy at our institution, we enrolled 64 patients with small-bowel angioectasia (angioectasia group) and 97 patients without small-bowel angioectasia (non-angioectasia group). The angioectasia group was subdivided into patients with type 1a angioectasia (35 cases) and type 1b angioectasia (29 cases) according to the Yano-Yamamoto classification. Patient characteristics, treatment, and outcomes were evaluated.
resultsAge (P = 0.001), cardiovascular disease (P = 0.002), and liver cirrhosis (P = 0.003) were identified as significant predictors of small-bowel angioectasia. Multivariate logistic regression analysis identified cardiovascular disease (odds ratio 2.86; 95% confidence interval, 1.35-6.18) and liver cirrhosis (odds ratio 4.81; 95% confidence interval, 1.79-14.5) as independent predictors of small-bowel angioectasia. Eleven type 1a cases without oozing were treated conservatively, and 24 type 1a cases with oozing were treated with polidocanol injection (PDI). Re-bleeding occurred in two type 1a cases (6%). Seventeen type 1b cases were treated with PDI and 12 type 1b cases were treated with PDI combined with argon plasma coagulation (APC) or clipping. Re-bleeding occurred in five type 1b cases (17%) that resolved after additional endoscopic hemostasis in all cases. There was one adverse event from endoscopic treatment (1.6%).
conclusionsCardiovascular disease and liver cirrhosis were significant independent major predictors of small-bowel angioectasia. Type 1a angioectasias with oozing are indicated for PDI and type 1b angioectasias are indicated for PDI with APC or clipping.
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