title: Endoscopic laser therapy for gastrointestinal bleeding from congenital vascular lesions.
abstract: Endoscopic laser therapy may be useful in controlling upper gastrointestinal bleeding due to vascular abnormalities. This report presents the case of an 11-year-old boy with an unusual vasculocutaneous disorder complicated by chronic recurrent bleeding that necessitated frequent blood transfusions. Of a number of investigative tests, only endoscopy was diagnostic in determining that the bleeding was secondary to multiple gastric vascular lesions. Moreover, laser photocoagulation of the identified lesions resulted in a dramatic decrease in both transfusion requirements and hospitalization.
authors.affiliation: Department of Pediatrics, Mount Sinai Hospital Medical Center, Chicago, Illinois 60608.
authors.forename: P A
authors.initials: PA
authors.lastname: Noronha
authors.forename: M H
authors.initials: MH
authors.lastname: Leist
mesh_terms: D002648:Child; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D005773:Gastroscopy; D006801:Humans; D008028:Light Coagulation; D008297:Male; D012008:Recurrence; D013272:Stomach Diseases / Q000209:etiology / Q000601:surgery*; D013684:Telangiectasis / Q000150:complications / Q000151:congenital* / Q000601:surgery