Resumo

VELASCO, F. J. et al. Resposta à Hormonoterapia em Doente com Hemorragia por Angioectasias do Intestino Delgado Diagnosticada por Cápsula Endoscópica. J Port Gastrenterol. [online]. 2008, vol.15, n.3, pp.110-113. ISSN 0872-8178.

Small bowel capsule endoscopy is an effective diagnostic tool for patients with obscure gastrointestinal bleeding. Optimal medical therapy for intestinal angioectasia bleeding remains controversial. Hormonal therapy has been reported as effective, but no uniform results relative to its beneficial effect have been proved, and there are no therapeutic controlled trials using capsule endoscopy as a diagnostic method. We pre sent the case of a 87-year-old man who suffered from recurrent severe gastrointestinal bleeding since he started on warfarin therapy. Small bowel capsule was diagnostic, showing multiple angioectasias, some of them with active bleeding. Since estrogen-progestragen therapy was introduced no other bleeding episodes occurred and haemoglobin levels increased.

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