Distal duodenal resection for recurrent bleeding angiodysplasia
Yu. V. Ivanov,
A. V. Smirnov,
D. V. Sazonov,
D. P. Lebedev,
E. A. Zvezdkina,
F. G. Zabozlaev,
D. N. Panchenkov https://doi.org/10.16931/1995-5464.20203136-141
Abstract
A clinical case of successful surgical treatment of a patient with recurrent bleeding from vascular malformations of the duodenum is presented. Attention is focused on the difficulties of diagnosis and the choice of treatment tactics in such patients. Surgery should be performed if other treatment methods are ineffective. In order to provide greater functionality and a better quality of life for the patient in the long term, preference should be given to organ-preserving techniques.
About the Authors
Yu. V. Ivanov
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Medical and Biological Agency of Russia; Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russia
Russian Federation
Russian Federation
Yuri V. Ivanov - Doct. of Sci. (Med.), Professor, Head of the Surgical Department, FSBI FSCC FMBA of Russia.
28, Orekhovy Boulevar, Moscow, 115682; 20/1, Delegatskaya str., Moscow, 127473.
A. V. Smirnov
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
Alexander V. Smirnov - Cand. of Sci. (Med.), Surgeon of the Surgical Department, FSBI FSCC FMBA of Russia.
28, Orekhovy Boulevar, Moscow, 115682.
Phone: +7-926-204-81-48
D. V. Sazonov
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
Dmitry V. Sazonov - Cand. of Sci. (Med.), Head of the Endoscopic Department, FSBI FSCC FMBA of Russia.
28, Orekhovy Boulevar, Moscow, 115682.
D. P. Lebedev
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
Dmitry P. Lebedev - Interventional Radiologist of the Interventional Radiology Department, FSBI FSCC FMBA of Russia.
28, Orekhovy Boulevar, Moscow, 115682.
E. A. Zvezdkina
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
Elena A. Zvezdkina - Cand. of Sci. (Med.), Radiologist of the Radiology Department, FSBI FSCC FMBA of Russia.
28, Orekhovy Boulevar, Moscow, 115682.
F. G. Zabozlaev
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
Fedor G. Zabozlaev - Doct. of Sci. (Med.), Head of the Pathological Department, FSBI FSCC FMBA of Russia.
28, Orekhovy Boulevar, Moscow, 115682.
D. N. Panchenkov
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Medical and Biological Agency of Russia; Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russia
Russian Federation
Russian Federation
Dmitry N. Panchenkov - Doct. of Sci. (Med.), Professor, Head of the Laboratory of Minimally Invasive Surgery, Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russia.
28, Orekhovy Boulevar, Moscow, 115682; 20/1, Delegatskaya str., Moscow, 127473.
References
1. Garwa-Compean D., Del Cueto-Aguilera A.N., Jimenez-Rodnguez A.R., Gonzalez-Gonzalez J.A., Maldonado-Garza H.J. Diagnostic and therapeutic challenges of gastrointestinal angiodysplasias: a critical review and view points. World J. Gastroenterol. 2019; 25 (21): 2549-2564. https://doi.org/10.3748/wjg.v25.i21.2549.
2. Murphy B., Winter D.C., Kavanagh D.O. Small bowel gastrointestinal bleeding diagnosis and management - a narrative review. Front Surg. 2019; 6: 25. https://doi.org/10.3389/fsurg.2019.00025.
3. Becq A., Rahmi G., Perrod G., Cellier C. Hemorrhagic angiodysplasia of the digestive tract: pathogenesis, diagnosis, and management. Gastrointest. Endosc. 2017; 86 (5): 792-806. https://doi.org/10.1016/j.gie.2017.05.018.
4. Wang Z., Chen J.Q., Liu J.L., Qin X.Q., Huang Y. CT enterography in obscure gastrointestinal bleeding: a systematic review and meta-analysis. J. Med. Imaging Radiat. Oncol. 2013; 57 (3): 263-273. https://doi.org/10.1111/1754-9485.12035.
5. Teshima C.W., Kuipers E.J., van Zanten S.V., Mensink P.B. Double balloon enteroscopy and capsule endoscopy for obscure gastrointestinal bleeding: an updated meta-analysis. J. Gastroenterol. Hepatol. 2011; 26 (5): 796-801. https://doi.org/10.1111/j.1440-1746.2010.06530.x.
6. Holleran G., Hall B., Zgaga L., Breslin N., McNamara D. The natural history of small bowel angiodysplasia. Scand. J. Gastroenterol. 2016; 51 (4): 393-399. https://doi.org/10.3109/00365521.2015.1102317.
7. Romagnuolo J., Brock A.S., Ranney N. Is endoscopic therapy effective for angioectasia in obscure gastrointestinal bleeding? A systematic review of the literature. J. Clin. Gastroenterol. 2015; 49 (10): 823-830. https://doi.org/10.1097/MCG.0000000000000266.
Review
For citations:
Ivanov Yu.V., Smirnov A.V., Sazonov D.V., Lebedev D.P., Zvezdkina E.A., Zabozlaev F.G., Panchenkov D.N. Distal duodenal resection for recurrent bleeding angiodysplasia. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2020;25(3):136-141. (In Russ.) https://doi.org/10.16931/1995-5464.20203136-141
Views:
520
Email this article 