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Angiodysplasia in patient with chronic kidney disease: case report
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Keywords

Angiodysplasia
Gastrointestinal bleeding
Chronic kidney disease

How to Cite

Angiodysplasia in patient with chronic kidney disease: case report. (2020). Electronic Journal Collection Health, 48, e3190. https://doi.org/10.25248/reas.e3190.2020

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Abstract

Objective: Report and discuss about Intestinal Angiodysplasia in a patient with Chronic Kidney Disease (CKD) in a tertiary care hospital. Case details: 67-year-old male patient, diabetic, hypertensive and diagnosed with dialysis chronic kidney disease for 3 years, evolving with gastrointestinal bleeding for 2 and a half years, epistaxis and weight lisos. He underwent an endoscopic capsule examination that showed multiple angiectasis along the small intestine. Initially, pharmacological therapy was performed with Thalidomide, Octeotidra and Desmopressin and subsequently treated through double balloon Enteroscopy and hemostatic therapy with argon plasma coagulation. Final considerations: Intestinal angiodysplasia is a major cause of gastrointestinal bleeding in patients with CKD. Its exact cause remains unknown. The diagnosis can be made through endoscopic techniques and treatment may become necessary in symptomatic patients, through pharmacological therapy and clotting with argon plasma.

PDF (Portuguese (Brazil))