DON BRINBERG, M.D.; PETER H. R. GREEN, M.D.; OSCAR LEBWOHL, M.D.
To the editor: Angiodysplasia (or telangiectasia) is a recognized cause of gastrointestinal bleeding seen in up to 23% of patients with chronic renal failure (1) and 6. 6% of patients evaluated for rectal bleeding (2). Treatments for angiodysplastic lesions have included surgery, electrocautery, and laser and angiographic obliteration. We present a case of a patient who received estrogen-progestogen therapy for recurrrent gastrointestinal bleeding from angiodysplastic lesions.
A 72-year-old woman presented with melena in 1979. Evaluation included an upper gastrointestinal series, barium enema, panendoscopy, and colonoscopy. These studies revealed multiple angiodysplasias in her stomach, duodenum, and colon. Her medical history included
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BRINBERG D, GREEN PHR, LEBWOHL O. Estrogen Therapy for Bleeding Gastrointestinal Telangiectasias. Ann Intern Med. 1986;105:462-463. doi: 10.7326/0003-4819-105-3-462_3
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Published: Ann Intern Med. 1986;105(3):462-463.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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