TWO CASES OF GASTROINTESTINAL HEMORRHAGIC VASCULAR ECTASIA TREATED WITH ENDOSCOPIC HEMOSTASIS

Abstract

Gastrointestinal vascular ectasia is an important cause of gastrointestinal hemorrhage, especially in the aged people and in the patients with cardiovascular disease or chrollic renalfailure. However, careful endoscopic examinations would be necessary for its diagnosis. Wedescribed here two cases of gastrointestinal vascular ectasia successfully treated with endoscopic hemostasis.
Case 1:A40-year-old wornan with chronic heart failure due to mitral regurgitation wasadmitted to our hospital because of general fatigue and severe anemia. Endoscopic examinationrevealed hemorrhagic vascular ectasia at the second portion of duodenum and endoclips wereperformed.
Case 2:A68-year-old man with liver cirrhosis was admitted to our hospital because ofgeneral fatigue. Endoscopic examination revealed hemorrhagic vascu.lar ectasia on the anteriorwall of stomach and ethanol inlection was performed.
In both cases, bleedings were successfully treated by endoscopic hernostasis and no rebleeding has been observed for two years. Endoscopic hemostasis including endoclips and ethanolinjection is a safe and effective treatment for hemorrhagic vascular ectasia.