Angiodysplasia Of The Colon
(Colonic Angiodysplasia, Arteriovenous Malformations [AVM] of the Colon)
Definition
Angiodysplasia of the colon occurs when enlarged and fragile blood vessels in the colon result in occasional bleeding in the gastrointestinal (GI) tract. If you think you may have this condition, contact your doctor immediately.
Normal Anatomy of the Intestines
Causes
Angiodysplasia of the colon can be caused by:
- Injury to the GI tract
- Heart problems
- Kidney problems
- Lung problems
- von Willebrand's disease (a disorder of the blood)
- Blood vessel problems
- Normal contractions of the colon
Risk Factors
A risk factor is something that increases your chance of getting a disease or condition. If you are over 60 years old, you are at increased risk of having angiodysplasia of the colon.
Symptoms
People with angiodysplasia of the colon may or may not have symptoms. If you experience any of these symptoms do not assume it is due to angiodysplasia of the colon. These symptoms may be caused by other health conditions. If you experience any one of them, see your physician.
- Bleeding from the rectum
- Anemia
- Weakness
- Fatigue
- Shortness of breath
- Dark, tarry stools
Diagnosis
Your doctor will ask about your symptoms and medical history. A physical exam will be done. Tests may include the following:
- Colonoscopy
- Upper endoscopy (EGD)
- Radiology testing with CT scan
- Angiography
- Complete blood count (CBC)
- Stool testing
Treatment
Talk with your doctor about the best treatment plan for you. Treatment may not be necessary, since about 90% of cases of angiodysplasia of the colon stop bleeding on their own. Treatment options include the following:
Prevention
There is no known way to prevent angiodysplasia of the colon.
AGS Foundation for Health in Aging
National Digestive Diseases Information Clearinghouse
Canadian Association of Gastroenterology
Canadian Digestive Health Foundation
Angiodysplasia. DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated October 30, 2012. Accessed November 5, 2012.
American Gastroenterological Association. AGA guideline: evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology. 2000;118:197.
Last reviewed November 2012 by Daus Mahnke, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.


