A case in which a hemodialysis patient was diagnosed with gastrointestinal bleeding due to angiodysplasia using capsule endoscopy of the small intestine

Abstract

The patient was a 78-year-old male. He visited our department because of nephrosclerosis, but had repeatedly suffered gastrointestinal bleeding due to angiodysplasia of the stomach and duodenum before the introduction of hemodialysis. Even after hemodialysis was introduced, gastrointestinal bleeding from the stomach and duodenum was observed. Capsule endoscopy of the small intestine revealed angiodysplasia with active bleeding in the upper jejunum. Conservative treatment with oral rebamipide was started, and the patient did not require hemostasis or a blood transfusion.