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Jornal Português de Gastrenterologia
Print version ISSN 0872-8178
Abstract
COSTA, T. Bana e et al. Tratamento farmacológico das angiectasias gastrintestinais. J Port Gastrenterol. [online]. 2009, vol.16, n.4, pp.149-153. ISSN 0872-8178.
Angiodysplasias are the leading cause of small bowel bleeding in the elderly. Capsule endoscopy and single/double balloon enteroscopy made the diagnosis and treatment of bleeding angiodysplasias easier. Nevertheless, endoscopic treatment, surgery and angiography are impossible or unsuccessful in many instances, particularly when there are multiple intestinal angiodysplasia. In such cases, medical therapy is the only solution. The authors review the scientific evidence supporting the use of hormonal therapy, octreotide and thalidomide, the most studied and promising drugs until now in this setting.
Keywords : Gastrointestinal angiodysplasia; mid gastrointestinal bleeding; hormonal therapy; octreotide; thalidomide.