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Role of Octreotide in Pediatric Gastrointestinal Bleeding Secondary to Angiodysplasia in Children With Right Heart Failure
Ist Teil von
Journal of pediatric gastroenterology and nutrition, 2018-02, Vol.66 (2), p.e41-e44
Ort / Verlag
United States: by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology
Erscheinungsjahr
2018
Link zum Volltext
Quelle
Wiley Online Library
Beschreibungen/Notizen
ABSTRACT
Objectives:
Angiodysplasia (AD) is a relatively uncommon cause of gastrointestinal bleeding in children and may be seen in right heart failure. Octreotide has been used successfully in adult patients with gastrointestinal bleeding due to ADs.
Methods:
We describe 2 patients who had congenital heart disease with right heart failure and gastrointestinal bleeding from AD.
Results:
AD lesions were documented on traditional endoscopy and capsule endoscopy. Bleeding resolved after initiation of IV octreotide and did not recur on subcutaneous octreotide during the 2‐year follow‐up period.
Conclusions:
Based on the successful outcomes in the 2 patients, a trial of octreotide may be considered in pediatric patients who present with gastrointestinal bleeding secondary to AD.