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  • Title: [Digestive haemorrhage due to angiodysplasia in dialysis patients. Treatment with conjugated estrogens].
    Author: Manzanera MJ, Gutiérrez E, Domínguez-Gil B, García JA, González E, Praga M.
    Journal: Nefrologia; 2005; 25(4):412-5. PubMed ID: 16231508.
    Abstract:
    Gastrointestinal angiodysplasia is a very common cause of digestive hemorrhage among elderly patients with chronic renal insufficiency. Therapeutic possibilities are scarce, as well as information available. Here we present our experience with 8 cases of dialysis patients that were treated with conjugated estrogens because of digestive hemorrhage due to angiodysplasia. Dissapearance of bleeding was observed after the onset of estrogen therapy, with a significant decrease of blood transfusions. This type of non-invasive treatment can avoid aggressive therapeutic interventions in patients with a high prevalence of co-morbid conditions (old patients undergoing chronic dialysis).
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