Document Detail


Gastric angiodysplasia in a child with Bernard-Soulier syndrome: efficacy of octreotide in long-term management.
MedLine Citation:
PMID:  16020106     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gastrointestinal angiodysplasia in association with Bernard-Soulier syndrome has been previously described in adults. The authors report on a 14year-old boy presenting with massive upper gastrointestinal bleeding due to a large gastric angiodysplasia, in whom medical history and laboratory investigations were consistent with Bernard-Soulier syndrome. The vascular lesion was so widespread that surgical or endoscopic therapy was not considered. Therefore, treatment with octreotide, a somatostatin analog, was commenced, following a short course of tranexamic acid and proton pump inhibitor. During the 16-month follow-up with octreotide therapy, no occult or gross bleeding occurred. This case illustrates the utility of using octreotide for the long-term treatment of children with bleeding disorders and angiodysplasia.
Authors:
Zühre Kaya; Türkiz Gürsel; Buket Dalgic; Deniz Aslan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric hematology and oncology     Volume:  22     ISSN:  0888-0018     ISO Abbreviation:  Pediatr Hematol Oncol     Publication Date:    2005 Apr-May
Date Detail:
Created Date:  2005-07-19     Completed Date:  2005-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8700164     Medline TA:  Pediatr Hematol Oncol     Country:  England    
Other Details:
Languages:  eng     Pagination:  223-7     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Faculty of Medicine, Gazi University, Besevler, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Angiodysplasia / complications*,  diagnosis,  drug therapy*
Bernard-Soulier Syndrome / complications*,  diagnosis,  drug therapy*
Endoscopy, Gastrointestinal
Humans
Male
Octreotide / administration & dosage,  therapeutic use*
Stomach Diseases / complications,  diagnosis,  drug therapy
Time Factors
Treatment Outcome
Chemical
Reg. No./Substance:
83150-76-9/Octreotide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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