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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering With Gastrointestinal Avm, Blockages In Legs, Cannot Be Given Plavix Due To Bleeding Problem. Suggestion?

hello ,i hope you can help me understand my husbands illness . he has gastrointestinal avm, since 2003 but we just recently found out the name of his illness. he s had about 45 to 50 pint s of blood over the years.the doctors carterize the viens and give him blood and send him on his way, they say that s all they can do. he also has blockages in both leg s they can t give him plavix because it will cause him to bleed . any suggestions?
Sat, 25 Aug 2012
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Internal Medicine Specialist 's  Response
This is a common problem on patient with AVMs. It all depends where are the AVMs located. If they are isolated to a part of the stomach (most commonly in the "antrum" of the stomach), and nowhere else in the gastrointestinal tract, then a solution would be surgery to remove that part of the stomach. However this doesn't guarantee that the AVMs won't come back in the future. If the AVMs are more diffuse and located throughout the a longer portion of the intestinal tract, then plavix is a problem, and he will probably benefit from a vascular surgeon to evaluate his legs, and see if a stent or bypass of the blocked vessels is possible. For bleeding you can always give more blood transfusions, but for blocked vessels in the legs you can end up with amputation.
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Suffering With Gastrointestinal Avm, Blockages In Legs, Cannot Be Given Plavix Due To Bleeding Problem. Suggestion?

This is a common problem on patient with AVMs. It all depends where are the AVMs located. If they are isolated to a part of the stomach (most commonly in the antrum of the stomach), and nowhere else in the gastrointestinal tract, then a solution would be surgery to remove that part of the stomach. However this doesn t guarantee that the AVMs won t come back in the future. If the AVMs are more diffuse and located throughout the a longer portion of the intestinal tract, then plavix is a problem, and he will probably benefit from a vascular surgeon to evaluate his legs, and see if a stent or bypass of the blocked vessels is possible. For bleeding you can always give more blood transfusions, but for blocked vessels in the legs you can end up with amputation.