Angiodysplasia of the Colon in Patients with Hemostatic Defects: Risk of Secondary Hemorrhage After Electrocoagulation Treatment

Bell, A. J.; Mufti, G. J.; Oscier, D. G.; Hamblin, T. J.; Shepherd, D. F. C.
August 1984
Angiology;Aug1984, Vol. 35 Issue 8, p511
Academic Journal
Angiodysplasia of the colon is a relatively common cause of blood loss in the elderly. Electrocoagulation through a colonscope is a common mode of treatment for this condition. Three patients are presented who had associated hemostatic defects and electrocoagulation resulted in life threatening secondary hemorrhage. In two of these patients a right hemicolectomy was performed. On the basis of these findings we suggest that patients with angiodysplasia and associated hemostatic disorders have a greatly increased risk of secondary hemorrhage following electrocoagulation treatment. These patients should be followed closely for two-three weeks following this treatment.


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