Angiodysplasia of the colon is swollen, fragile blood vessels in the colon. These can result in bleeding and blood loss from the gastrointestinal (GI) tract.
Vascular ectasia of the colon; Colonic arteriovenous malformation; Hemorrhage - angiodysplasia; Bleed - angiodysplasia; Gastrointestinal bleeding - angiodysplasia; G.I. bleed - angiodysplasia
Angiodysplasia of the colon is mostly related to the aging and breakdown of the blood vessels. It is more common in older adults. It is almost always seen on the right side of the colon.
Most likely, the problem develops out of normal spasms of the colon that cause the blood vessels in the area to enlarge. When this swelling becomes severe, a tiny passageway develops between a small artery and vein. This is called an arteriovenous malformation. Bleeding can occur from this area in the colon wall.
Rarely, angiodysplasia of the colon is related to other diseases of the blood vessels. One of these is Osler-Weber-Rendu syndrome. The condition is not related to cancer. It is also different than diverticulosis, which is a more common cause of intestinal bleeding in older adults.
The symptoms vary.
Older people may have symptoms such as:
They may not have noticeable bleeding directly from the colon.
Other people may have bouts of mild or severe bleeding in which bright red or black blood comes from the rectum.
There is no pain associated with angiodysplasia.
It is important to find the cause of bleeding in the colon and how fast the blood is being lost. You may need to be admitted to a hospital. Fluids may be given through a vein, and blood products may be required.
Other treatment may be needed once the source of bleeding is found. In most cases, the bleeding stops on its own without treatment.
If treatment is needed, it may involve:
In some cases, surgery is the only option. You may need the entire right side of the colon (right hemicolectomy) removed if heavy bleeding continues, even after other treatments have been tried. Medicines (thalidomide and estrogens) may be used to help control the disease in some people.
Shajan Peter is a Gastroenterologist and an Internal Medicine doctor in Birmingham, Alabama. Dr. Peter is rated as an Elite doctor by MediFind in the treatment of Angiodysplasia of the Colon. He is also highly rated in 21 other conditions, according to our data. His top areas of expertise are Watermelon Stomach, Angiodysplasia of the Colon, Barrett Esophagus, and Gastrointestinal Bleeding. He is licensed to treat patients in Alabama. Dr. Peter is currently accepting new patients.
Xavier Dray is in Paris, France. Dray is rated as an Elite expert by MediFind in the treatment of Angiodysplasia of the Colon. He is also highly rated in 5 other conditions, according to our data. His top areas of expertise are Angiodysplasia of the Colon, Gastrointestinal Bleeding, Watermelon Stomach, and Viral Gastroenteritis.
David Graham is in London, United Kingdom. Graham is rated as an Elite expert by MediFind in the treatment of Angiodysplasia of the Colon. He is also highly rated in 6 other conditions, according to our data. His top areas of expertise are Watermelon Stomach, Angiodysplasia of the Colon, Gastrointestinal Bleeding, and Barrett Esophagus.
People who have bleeding related to this condition despite having had colonoscopy, angiography, or surgery are likely to have more bleeding in the future.
The outlook remains good if the bleeding is controlled.
Complications may include:
Contact your health provider if rectal bleeding occurs.
There is no known prevention.
Published Date : October 25, 2021
Published By : Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Kwah J, Brandt LJ. Vascular lesions of the gastrointestinal tract. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 38.
Ibanez MB, Munoz-Navas M. Occult and unexplained chronic gastrointestinal bleeding. In: Chandrasekhara V, Elmunzer J, Khashab MA, Muthusamy VR, eds. Clinical Gastrointestinal Endoscopy. 3rd ed. Philadelphia, PA: Elsevier; 2019:chap 18.