内視鏡的治療およびホルモン療法が有効であった出血を伴う胃毛細血管拡張症の1例

阿部 誠司; 竹下 俊隆; 溝上 裕士; 白石 貴久; 柏原 光介; 大坪 十四哉; 奈良坂 俊明; 松岡 健; 草間 博

doi:10.11641/pdensks.50.0_250

Clinical study

A Case of Gastric Angiodysplasia Treated by Endoscopy and Hormonal Therapy

Seiji Abe, Toshitaka Takeshita, Yuji Mizokami, Takahisa Shiraishi, Kosuke Kashiwabara, Toshiya Otsubo, Toshiaki Narasaka, Takeshi Matsuoka, Hiroshi Kusama

Author information

Seiji Abe
Department of Internal Medicine 5, Tokyo Medical College Kasumigaura Hospital
Toshitaka Takeshita
Department of Internal Medicine 5, Tokyo Medical College Kasumigaura Hospital
Yuji Mizokami
Department of Internal Medicine 5, Tokyo Medical College Kasumigaura Hospital
Takahisa Shiraishi
Department of Internal Medicine 5, Tokyo Medical College Kasumigaura Hospital
Kosuke Kashiwabara
Department of Internal Medicine 5, Tokyo Medical College Kasumigaura Hospital
Toshiya Otsubo
Department of Internal Medicine 5, Tokyo Medical College Kasumigaura Hospital
Toshiaki Narasaka
Department of Internal Medicine 5, Tokyo Medical College Kasumigaura Hospital
Takeshi Matsuoka
Department of Internal Medicine 5, Tokyo Medical College Kasumigaura Hospital
Hiroshi Kusama
Department of Pathology, Tokyo Medical College Kasumigaura Hospital

JOURNAL FREE ACCESS

1997 Volume 50 Pages 250-251

DOI https://doi.org/10.11641/pdensks.50.0_250

Details

Abstract

A 71-year-old woman was hospitalized due to appetite loss and abdominal pain. Laboratory examination revealed anemia and fecal positive occult blood. Blood loss from angiodysplasia was diagnosed by endoscopically characteristic multiple gastric cherry-red spots.
These lesions were treated endoscopically by pure ethanol injections. Treatment was successful and anemia was improved. Further more, estriol therapy was added with 2mg per day. Patient recovered completely. Local injection of pure ethanol and systemic hormonal therapy is effective treatment for bleeding from gastric angiodysplasia.

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