MICHAEL MCKINNEY, M.D.
To the editor: Zuckerman and coworkers (1) have reported a high incidence of angiodysplasia as the cause of upper gastrointestinal tract bleeding in patients with chronic renal failure. They report finding a "vascular appearing lesion" in 23% of these patients at endoscopy. I find it interesting that the diagnosis was made by visual inspection alone, with no histologic confirmation, because the differentiation between angiodysplasia and submucosal hemorrhage can be difficult macroscopically, at least in our experience.
We are frequently asked to evaluate upper gastrointestinal tract bleeding in patients with chronic renal failure. Recently, we have found many small, irregular, red,
MICHAEL MCKINNEY. Gastrointestinal Angiodysplasia in Chronic Renal Failure. Ann Intern Med. 1985;103:960–961. doi: 10.7326/0003-4819-103-6-960_2
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Published: Ann Intern Med. 1985;103(6_Part_1):960-961.
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