[Successful treatment of recurrent lower gastrointestinal hemorrhage in intestinal angiodysplasia with an estrogen-progesterone combination].
A 75-year-old man with angiodysplasia of the sigmoid and rectum and recurrent lower gastrointestinal bleeding episodes, despite repeated endoscopic laser-coagulation, was successfully treated with oestrogen-progesterone. Besides angiodysplasia he had aortic valvular stenosis, monoclonal gammopathy, mild renal insufficiency, and moderate peripheral arteriosclerosis obliterans. Oestrogen-progesterone may be a valuable alternative therapy in elderly patients with repeated bleeding, despite endoscopic coagulation, secondary to gastrointestinal angiodysplasia which cannot be treated surgically, in patients who deny surgery, or with rebleeding after surgery.
Abteilung Innere Medizin I und III, Universitätsklinik Ulm.
E
E
Späth-Schwalbe
G
G
Preclik
H
H
Heimpel
D000368:Aged; D016888:Angiodysplasia / Q000188:drug therapy*; D003131:Combined Modality Therapy; D006471:Gastrointestinal Hemorrhage / Q000188:drug therapy*; D006452:Hemoglobinometry; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D009640:Norethindrone / Q000627:therapeutic use*; D012002:Rectal Diseases / Q000188:drug therapy*; D012008:Recurrence; D012810:Sigmoid Diseases / Q000188:drug therapy*
D009640:Norethindrone