UPPER-GASTROINTESTINAL BLEEDING FROM ANGIODYSPLASIA OF THE MINOR PAPILLA

Angiodysplasia is an often unrecognized cause of upper-gastrointestina l bleeding, most commonly found in the antrum of the stomach but also in the duodenum and rarely in the esophagus. Small-intestinal angiodys plasia is the source of gastrointestinal bleeding of obscure origin in 30-40% of cases. The diagnosis is usually made by esophagogastroduode noscopy, push enteroscopy, or selective angiography. We report the fir st case of angiodysplasia of the minor papilla diagnosed by side-viewi ng duodenoscopy.