Name of the Condition

• Angiodysplasia of the Stomach and Duodenum with Bleeding
• Also referred to as gastrointestinal angiodysplasia with bleeding.

Summary

• Angiodysplasia of the stomach and duodenum with bleeding is a condition where small, abnormal blood vessels in the stomach and duodenum become fragile and lead to chronic or acute bleeding. This can result in anemia and other complications due to blood loss.

Causes

• The condition is primarily associated with degenerative changes in blood vessels, often related to aging. It is not typically linked to specific genetic factors.

Risk Factors

• Age is a significant risk factor, with higher prevalence in older adults.
• History of certain heart conditions and conditions causing increased pressure in the veins and capillaries.
• Use of anticoagulant medications.

Symptoms

• Symptoms may include visible blood in vomit or stool, black or tarry stools, fatigue, paleness, and dizziness due to blood loss.

Diagnosis

• Diagnosis can involve endoscopic evaluations such as esophagogastroduodenoscopy (EGD) to visualize the stomach and duodenum.
• Imaging tests and lab tests, including complete blood count (CBC), may be used to assess blood loss and anemia.

Treatment Options

• Endoscopic therapy is a common treatment to cauterize bleeding vessels.
• Medications such as iron supplements may be prescribed to address anemia.
• In severe cases, blood transfusions or surgical intervention may be necessary.

Prognosis and Follow-Up

• The prognosis generally depends on the severity and frequency of bleeding episodes. With appropriate management, the outlook can be good.
• Regular follow-ups are crucial to monitor for rebleeding and to ensure ongoing management of anemia.

Complications

• Potential complications include anemia, requiring ongoing management, and, in severe cases, significant blood loss that can lead to shock or more severe outcomes.

Lifestyle & Prevention

• A balanced diet rich in iron may help manage symptoms related to anemia.
• Regular medical check-ups to monitor heart and vascular health may reduce risks.

When to Seek Professional Help

• Immediate medical attention is necessary if there is severe bleeding, dizziness, or signs of shock.
• Ongoing symptoms of anemia, like extreme fatigue, should prompt medical consultation.

Additional Resources

• American College of Gastroenterology (ACG)

• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

  Tips for Medical Coders

• Ensure specificity by accurately identifying the location (stomach and duodenum) and the presence of bleeding for correct ICD coding.
• Avoid common errors like omitting specific bleeding in coding descriptions, as this may affect billing and record accuracy.