Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 14, 2019; 25(22): 2720-2733
Published online Jun 14, 2019. doi: 10.3748/wjg.v25.i22.2720
Diagnosis and therapeutic strategies for small bowel vascular lesions
Eiji Sakai, Ken Ohata, Atsushi Nakajima, Nobuyuki Matsuhashi
Eiji Sakai, Ken Ohata, Nobuyuki Matsuhashi, Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo 141-8625, Japan
Eiji Sakai, Atsushi Nakajima, Division of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama 236-0004, Japan
Author contributions: All the authors helped to perform the research; Sakai E drafted the article; Nakajima A participated in the study’s conception and design; Ohata K and Matsuhashi N approved the final manuscript.
Conflict-of-interest statement: None of the authors have any potential conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected byan in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Atsushi Nakajima, MD, PhD, Professor, Division of Gastroenterology and Hepatology, Yokohama City University School of Medicine, 3-9 Fuku-ura, Kanazawa-ku, Yokohama 236-0004, Japan.
Telephone: +81-45-7872640 Fax: +81-45-7843546
Received: March 12, 2019
Peer-review started: March 13, 2019
First decision: April 11, 2019
Revised: April 21, 2019
Accepted: May 3, 2019
Article in press: May 3, 2019
Published online: June 14, 2019
Core Tip

Core tip: Angiodysplasia includes a variety of synonymous disease concepts such as angioectasia, Dieulafoy’s lesion and arteriovenous malformation. Although these lesions are the most common causes of small bowel bleeding, optimal management strategies have not been established. We propose that these lesions should be addressed separately when determining diagnostic and therapeutic plans because of their clinical heterogeneity. In this review, we focused on differences in their epidemiology, pathology and clinical presentation and discussed the currently available diagnostic and therapeutic options that may be used to control small bowel bleeding, which consequently improve patient quality of life.