MICHAEL O. BLACKSTONE, M.D.
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To the editor: The finding by Zuckerman and associates (1) of angiodysplasia as a cause of acute upper gastrointestinal bleeding in 24% of patients with chronic renal failure and in 7% of their study group overall is unprecedented. In other series of patients with upper gastrointestinal bleeding, the prevalence has been about 1.5% (2) or less, as was true in a large survey of consecutive examinations performed by members of the American Society for Gastrointestinal Endoscopy (ASGE) in which it was only 0.5% in 2225 patients (3).
Although gastric and duodenal angiodysplasia has been reported by others (4) as an
BLACKSTONE MO. Angiodysplasia and Gastrointestinal Bleeding in Chronic Renal Failure. Ann Intern Med. ;103:805. doi: 10.7326/0003-4819-103-5-805_2
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Published: Ann Intern Med. 1985;103(5):805.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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