Role of Octreotide in Pediatric Gastrointestinal Bleeding Secondary to Angiodysplasia in Children with Right Heart Failure.

Objectives: Angiodysplasia is a relatively uncommon cause of GI bleeding in children and may be seen in right heart failure. Octreotide has been used successfully in adult patients with gastrointestinal bleeding due to angiodysplasias. Methods: We describe two patients who had congenital heart disease with right heart failure and gastrointestinal bleeding from angiodysplasia. Results: Angiodysplasia lesions were documented on traditional endoscopy and capsule endoscopy. Bleeding resolved after initiation of IV octreotide and did not recur on subcutaneous octreotide during the two year follow up period. Conclusions: Based on the successful outcomes in the two patients, a trial of octreotide may be considered in pediatric patients who present with gastrointestinal bleeding secondary to angiodysplasia. (C) 2017 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,

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