Angiodysplasia in a Child with Chronic Renal Failure: Endoscopic Hemostatic Therapy.
- Author:
Yun Jin LEE
1
;
Young Mi KIM
;
Su Young KIM
;
Jae Hong PARK
Author Information
1. Department of Pediatrics, College of Medicine, Pusan National University Hospital, Busan, Korea. jhongpark@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Angiodysplasia;
Stomach;
Chronic renal failure;
Hemoclipping
- MeSH:
Adolescent;
Aged;
Anemia;
Angiodysplasia*;
Argon;
Argon Plasma Coagulation;
Child*;
Electrocoagulation;
Gastrointestinal Tract;
Hemorrhage;
Humans;
Kidney Failure, Chronic*;
Ligation;
Light Coagulation;
Male;
Melena;
Prunus;
Recurrence;
Renal Dialysis;
Sclerotherapy;
Stomach
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2003;6(2):192-196
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Angiodysplasia is the most common vascular abnormality of the gastrointestinal tract and probably the most frequent cause of recurrent lower intestinal bleeding in otherwise healthy elderly patients. Also, it is an important cause of hemorrhage in chronic renal failure observed in up to 19~32% of patients. Bleeding due to gastric angiodysplasia is treated by various endoscopic approaches, including argon and Nd:YAG laser photocoagulation, monopolar or bipolar electrocoagulation, heater probe, injection sclerotherapy, band ligation or hemoclipping. A 15-year-old boy, who had undergone hemodialysis for chronic renal failure for about 10 years, was admitted due to melena and progressive anemia. A gastroduodenoscopy revealed a cherry red and fern-like lesion with oozing on the posterior wall at junction of gastric body and fundus. Endoscopic hemoclipping therapy was performed. However, melena recurred four days later. Argon plasma coagulation and hemoclipping therapy were performed again. Since then, no recurrence of bleeding has been observed.
