Judicious usage of estrogen/progesterone for angiodysplasia.
We recently experienced a case of a female hemodialysis patient with multiple intestinal angiodysplasias. In 2001, she complained of melena, and angiographic embolization halted bleeding from ileum angiodysplasia. In 2002, she again complained of black stool. Abdominal angiography found jejunum angiodysplasia, and pharmacological therapy with estrogen/progesterone was required to stop the bleeding. Ethical demands to develop new hemodialyzers that do not release estrogen-like substances are discussed.
Takenaka
Tsuneo
T
Shinjuku Suimei Clinic, Shinjuku, Tokyo, Japan.
Kanno
Yoshihiko
Y
Suzuki
Hiromichi
H
D016888:Angiodysplasia / Q000150:complications / Q000188:drug therapy*; D003280:Contraceptives, Oral, Synthetic / Q000627:therapeutic use*; D004967:Estrogens / Q000627:therapeutic use*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007579:Jejunal Diseases / Q000150:complications / Q000188:drug therapy*; D008656:Mestranol / Q000627:therapeutic use*; D008875:Middle Aged; D009640:Norethindrone / Q000627:therapeutic use*
D003280:Contraceptives, Oral, Synthetic; D004967:Estrogens; D008656:Mestranol; D009640:Norethindrone