Author/Editor     Vujkovac, Bojan; Lavre, Janez; Šabovič, Mišo
Title     Successful treatment of bleeding from colonic angiodysplasias with tranexamic acid in a hemodialysis patient
Type     članek
Source     Am J Kidney Dis
Vol. and No.     Letnik 31, št. 3
Publication year     1998
Volume     str. 536-8
Language     eng
Abstract     Colonic angiodysplasias are a common source of gastrointestinal bleeding in patients with end-stage renal disease (ESRD). It is well known that bleeding from angiodysplasias can be a difficult therapeutic problem. This report describes a hemodialysis patient who suffered acute (massive) and chronic gastrointestinal bleeding from colonic angiodysplasias. Because endoscopic ablation could not be performed and resection of the colon was refused, pharmacological treatment with the antifibrinolytic agent tranexamic acid was attempted. A successful management of both the acute and chronic bleeding was achieved. No complications in terms of arterial or venous thrombosis were observed.
Descriptors     ANGIODYSPLASIA
ANTIFIBRINOLYTIC AGENTS
COLONIC DISEASES
GASTROINTESTINAL HEMORRHAGE
TRANEXAMIC ACID
MIDDLE AGE
KIDNEY FAILURE, CHRONIC
HEMODIALYSIS