{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:40:05Z","timestamp":1756276805608,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,6,28]]},"abstract":"<jats:p>We present a case of severe and recurrent small-bowel bleeding, due to multiple intestinal angiodysplasias, in a female patient with chronic renal failure due to suspected sarcoidosis. Over the years, she required numerous admissions and &gt;200\u2005units of blood for symptomatic anaemia. However, following a small-bowel capsule endoscopy that revealed several small-bowel angiectasis, she was treated successfully with octreotide and corticosteroids. Her transfusion requirements and hospital admissions were reduced drastically. Moreover, hypercalcaemia and liver function tests also normalised after treatment and double-balloon enteroscopy confirmed the complete resolution of these angiodysplasias. This case presentation confirms the usefulness of octreotide in the management of small-bowel angiodysplasias in dialysis patients and highlights the additional benefit of corticosteroids in portal hypertension due to suspected sarcoidosis.<\/jats:p>","DOI":"10.1136\/bcr-2016-215513","type":"journal-article","created":{"date-parts":[[2016,7,14]],"date-time":"2016-07-14T10:51:26Z","timestamp":1468493486000},"page":"bcr2016215513","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Successful treatment of refractory midgut bleeding with ocreotide and corticosteroids in a dialysis patient with suspected sarcoidosis"],"prefix":"10.1136","volume":"2016","author":[{"given":"Nestor","family":"Velasco","sequence":"first","affiliation":[{"name":"University Hospital Crosshouse, Kilmarnock, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toufeeq","family":"Imtiaz","sequence":"additional","affiliation":[{"name":"University Hospital Crosshouse, Kilmarnock, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir Ali","family":"Shah","sequence":"additional","affiliation":[{"name":"University Hospital Crosshouse, Kilmarnock, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasios","family":"Koulaouzidis","sequence":"additional","affiliation":[{"name":"Royal Infirmary of Edinburgh, Centre of Liver & Digestive Disorders, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,7,14]]},"reference":[{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.1","first-page":"99","article-title":"Use of small bowel capsule endoscopy in patients with chronic kidney disease: experience from a University Referral Center","volume":"28","author":"Docherty","year":"2015","journal-title":"Ann Gastroenterol"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01537107"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.3","doi-asserted-by":"publisher","DOI":"10.1177\/2050640614559121"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.4","first-page":"785","article-title":"Treatment of bleeding due to diffuse angiodysplasia of the small intestine with somatostatin analogue","volume":"3","author":"Torsoli","year":"1991","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2014.04.011"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.6","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910510206"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.7","first-page":"234","article-title":"Effects of octreotide on angiogenesis","volume-title":"Octreotide: from basic science to clinical medicine","volume":"10","author":"Danesi","year":"1996"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.8","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2001.21204"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.9","doi-asserted-by":"publisher","DOI":"10.1111\/apt.12000"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2007.03435.x"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.11","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/326357"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-004587"},{"key":"2025082623241078000_2016.jul14_1.bcr2016215513.13","doi-asserted-by":"crossref","first-page":"89","DOI":"10.12703\/P6-89","article-title":"Advances in the diagnosis and treatment of sarcoidosis","volume":"6","author":"Judson","year":"2014","journal-title":"F1000Prime Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-215513","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:24:19Z","timestamp":1756275859000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-215513"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,14]]},"references-count":13,"alternative-id":["10.1136\/bcr-2016-215513"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-215513","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,7,14]]}}}