SUCCESSFUL TREATMENT WITH ESTROGEN-PROGES TERONE OF RECURRENT GASTROINTESTINAL BLEEDINGS SECONDARY TO INTESTINAL ANGIODYSPLASIA

A 75-year-old man with angiodysplasia of the sigmoid and rectum and re current lower gastrointestinal bleeding episodes, despite repeated end oscopic laser-coagulation, was successfully treated with oestrogen-pro gesterone. Besides angiodysplasia he had aortic valvular stenosis, mon oclonal gammopathy, mild renal insufficiency, and moderate peripheral arteriosclerosis obliterans. Oestrogen-progesterone may be a valuable alternative therapy in elderly patients with repeated bleeding, despit e endoscopic coagulation, secondary to gastrointestinal angiodysplasia which cannot be treated surgically, in patients who deny surgery, or with rebleeding after surgery.