       Document 0379
 DOCN  M9640379
 TI    Massive gastrointestinal hemorrhage from AIDS-related Kaposi's sarcoma
       confined to the small bowel managed with radiation.
 DT    9604
 AU    Neville CR; Peddada AV; Smith D; Kagan AR; Frost DB; Sadoff L;
       Department of Radiation Oncology, Southern California Permanente;
       Medical Group, Los Angeles, USA.
 SO    Med Pediatr Oncol. 1996 Feb;26(2):135-8. Unique Identifier : AIDSLINE
       MED/96121152
 AB    A > 50% incidence of Kaposi's sarcoma (KS) of the gastrointestinal tract
       has been seen in acquired immunodeficiency syndrome (AIDS) patients with
       cutaneous KS. Although gastrointestinal Kaposi's sarcoma (GIKS) is
       usually asymptomatic, hemorrhages from the oral cavity, esophagus,
       stomach, and large bowel have occurred in this disease. We describe a
       patient with acute, massive gastrointestinal hemorrhage from GIKS
       confined to the small bowel who was treated with chemotherapy, surgery,
       and radiation. To the best of our knowledge, this is the first reported
       case of AIDS-related GIKS limited to the small bowel. Although
       chemotherapy is generally used successfully to palliate diffuse GIKS, we
       report that radiation was an effective modality that rapidly resulted in
       resolution of considerable local bleeding and could be used in such
       cases as an alternative to surgery. Details of this case history,
       including radiographs, are presented.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS  Acute Disease  Case
       Report  Gastrointestinal Hemorrhage/DIAGNOSIS/ETIOLOGY/*RADIOTHERAPY
       Human  Jejunal Neoplasms/ETIOLOGY/*RADIOTHERAPY  Male  Middle Age
       Palliative Care  Sarcoma, Kaposi's/ETIOLOGY/*RADIOTHERAPY  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

