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18.97.14.91
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대한소화기내시경학회 부록(2) : 대동맥 협착증과 동반된 출혈성 위장관 동정맥 기형에서 Estrogen-Progesterone 치료 1예
Estrogen-Progesterone Therapy for Recurrent Gastrointestinal Bleeding Secondary to Colonic Angiodysplasia Combined with Aortic Stenosis
김도연(Do Yeun Kim),김화정(Hwa Jeong Kim),김효정(Hyo Jung Kim),남준식(Jun Sik Nam),박수영(Su Young Park),박영미(Young Mi Park),신정은(Jeong Eun Shin),주미순(Mi Soon Ju),황민규(Min Gyeu Hwang),정혜경(Hye Kyung Jung),손혜영(Hye Young Son),이선영(Sun Young Yi),이한주(Han Chu Lee)
UCI I410-ECN-0102-2009-510-005535930
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Angiodysplasia is one of the most common lesions of the gastrointestinal tract that can give rise to clinically significant bleeding. It is associated with renal failure, aging, and aortic stenosis. Gastrointestinal bleeding combined with aortic stenosis is caused by low cardiac output, increased bleeding tendency or defective connective tissue bands in the angiodysplasia. Segmental resection of those portions containing the angiodysplastic lesions has been considered the definitive treatment for patient who are symptomatic because of chronic blood loss. There are scattered reports that recurrent bleeding from gastrointestinal angiodysplasia has ceased after aortic valve replacement. But, in other cases, recurrent bleedings were noted after bowel resection or aortic valve replacememt. Hormone therapy, usually with conjugated estrogen, has been used to treat patients with vascular lesions of the gastrointestinal tracts, in an attempt to reduce or terminate bleeding. We reported a case of cessation of recurrent gastrointestinal bleeding from colonic angiodysplasia combined with aortic stenosis after estrogen-progesterone therapy. (Korean J Gastrointest Endosc 19(Suppl. 2): S76∼S80, 1999)

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