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CC BY 4.0 · Surg J (N Y) 2023; 09(04): e112-e117
DOI: 10.1055/s-0043-1776111
Case Report

Intraoperative Endoscopic-Guided Bowel Resection for Persistent Gastrointestinal Bleeding Caused by Angiodysplasia: A Case Report and Literature Review

Emily Fellows 
1   Department of Surgery, University of Minnesota, Minneapolis, Minnesota
2   Division of Gastroenterology, Department of Internal Medicine, University of Minnesota, Minneapolis, Minnesota
,
Joy Harris 
1   Department of Surgery, University of Minnesota, Minneapolis, Minnesota
,
Tania Kibble 
1   Department of Surgery, University of Minnesota, Minneapolis, Minnesota
,
Nicholas M. McDonald 
2   Division of Gastroenterology, Department of Internal Medicine, University of Minnesota, Minneapolis, Minnesota
,
Nabeel Azeem 
2   Division of Gastroenterology, Department of Internal Medicine, University of Minnesota, Minneapolis, Minnesota
,
James V. Harmon 
1   Department of Surgery, University of Minnesota, Minneapolis, Minnesota
› Author Affiliations Funding None.
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Abstract

Gastrointestinal angiodysplasia is an uncommon condition often associated with significant gastrointestinal bleeding that is resistant to medical therapy. We report the clinical outcomes of two patients who successfully underwent simultaneous intraoperative endoscopic and surgical interventions for the treatment of angiodysplasia. Intraoperative endoscopic guidance was found to be useful in managing hemorrhage caused by angiodysplasia in both patients. Additionally, we performed an analysis of cases reported in the literature. Our review focused on the anatomic location of the resected bowel and the clinical outcomes of patients (n = 21) with angiodysplasia managed with intraoperative endoscopy reported in the literature.

Keywords

angiodysplasia - intraoperative endoscopy - bowel resection - gastrointestinal hemorrhage

Author Contributions

E.F., J.H., T.K., and N.M. contributed to manuscript preparation. E.F. and J.H. were responsible for data collection and analysis. N.A. and J.V.H. were responsible for project conceptualization and supervision.




Publication History

Received: 12 May 2023

Accepted: 21 September 2023

Article published online:
19 October 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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