Kristoffersson A, Domellöf L, Kullenberg K
Ann Chir Gynaecol. 1987;76(2):96-8.
Six out of 34 patients with gastrointestinal manifestations of hereditary haemorrhagic teleangiectasis (HHT) were found retrospectively. The diagnosis was established clinically, endoscopically, angiographically and/or at surgery. Major bleeding episodes originated from lesions in the stomach and duodenum. A few cases were also encountered with teleangiectasia in the small and large intestine and occasionally in the liver and lung. Repeated treatment with electrocoagulation was effective in controlling gastrointestinal bleeding in two of the patients. It is concluded that HHT should be considered as a potential cause of repeated and unexplained GI bleedings and that this diagnosis also should be kept in mind in patients with recurrent epistaxis.
对34例有遗传性出血性毛细血管扩张症（HHT）胃肠道表现的患者进行了回顾性研究。诊断通过临床、内镜、血管造影和/或手术确定。主要出血事件源于胃和十二指肠病变。少数病例还在小肠和大肠发现毛细血管扩张，偶尔在肝脏和肺部也有发现。两名患者反复接受电凝治疗有效控制了胃肠道出血。结论是，HHT应被视为反复不明原因胃肠道出血的潜在原因，反复鼻出血的患者也应考虑这一诊断。
