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Clinical Journal of Gastroenterology

, Volume 2, Issue 3, pp 187–189 | Cite as

Massive jejunal bleeding due to Heyde syndrome successfully treated with double balloon endoscopy

  • Sakiko Ohta
  • Tomohiro WatanabeEmail author
  • Shuko Morita
  • Satoru Ueno
  • Yoshihisa Tsuji
  • Hiroshi Nakase
  • Tsutomu Chiba
Case Report

Abstract

There is a well-documented relationship between aortic valve stenosis and recurrent gastrointestinal bleeding from angiodysplasia in elderly patients, called Heyde syndrome. We report a case of Heyde syndrome with massive jejunal bleeding. Capsule endoscopy showed bleeding from jejunal angiodysplasia. Spurting bleeding from jejunal angiodysplasia was identified and treated by double balloon endoscopy. No gastrointestinal bleeding was seen after the endoscopic treatment and aortic valve replacement was performed. This case suggests that capsule endoscopy and double balloon endoscopy were very useful for the diagnosis and treatment of small intestinal bleeding due to Heyde syndrome.

Keywords

Heyde syndrome Aortic valve stenosis Double balloon endoscopy 

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Copyright information

© Springer 2009

Authors and Affiliations

  • Sakiko Ohta
    • 1
  • Tomohiro Watanabe
    • 1
    Email author
  • Shuko Morita
    • 1
  • Satoru Ueno
    • 1
  • Yoshihisa Tsuji
    • 1
  • Hiroshi Nakase
    • 1
  • Tsutomu Chiba
    • 1
  1. 1.Department of Gastroenterology and HepatologyKyoto University Graduate School of MedicineKyotoJapan

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