title: Angiodysplasia as a cause of severe hematochezia in a child with end-stage renal failure.
abstract: Angiodysplasia is a frequent cause of gastrointestinal bleeding in adults with chronic renal failure (CRF); however, there is no data about this association in children. The mechanism of this association is not known. We report a 4.5-year-old boy with CRF presenting with hematochezia due to colonic angiodysplasia. He was on hemodialysis for the previous 9 months. Treatment with argon plasma coagulation (APC) was commenced following a short course of octreotide therapy. During the 3 years of follow-up, no occult or gross bleeding occurred. This case illustrates that octreotide and APC therapy seems to be useful for arresting bleeding from angiodysplasia and prevention of recurrent bleeding in children with CRF.
authors.affiliation: Department of Pediatric Gastroenterology, School of Medicine, Ankara University, Ankara, Turkey. zarifekuloglu@yahoo.com
authors.forename: Zarife
authors.initials: Z
authors.lastname: Kuloğlu
authors.forename: Zeynep Birsin
authors.initials: ZB
authors.lastname: Özçakar
authors.forename: Aydan
authors.initials: A
authors.lastname: Kansu
authors.forename: Gonca
authors.initials: G
authors.lastname: Üstündağ
authors.forename: Mesiha
authors.initials: M
authors.lastname: Ekim
authors.forename: F Şemsa
authors.initials: FŞ
authors.lastname: Altugan
authors.forename: Tanıl
authors.initials: T
authors.lastname: Kendirli
authors.forename: Kubilay
authors.initials: K
authors.lastname: Çınar
authors.forename: Fatoş
authors.initials: F
authors.lastname: Yalçınkaya
mesh_terms: D016888:Angiodysplasia / Q000150:complications*; D002675:Child, Preschool; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male