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Gastrointestinal bleeding and protein-losing enteropathy after the fontan operation
Himeshkumar Vyas1, David J Driscoll, Frank Cetta
1Department of Pediatric and Adolescent Medicine/Division of Pediatric Cardiology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Abstract:
Gastrointestinal bleeding has not been reported in patients with protein-losing enteropathy. The investigators describe 3 patients with protein-losing enteropathy and gastrointestinal bleeding after Fontan operations. Bleeding occurred at the onset of protein-losing enteropathy, was macroscopic, led to anemia, and required blood transfusion in all patients. Invasive testing failed to demonstrate gastrointestinal pathology as a source of bleeding. In conclusion, unexplained gastrointestinal bleeding may be part of the clinical spectrum of protein-losing enteropathy.
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