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We read with interest the letter by Krikis et al (Gut 2005;54:171–2). We report on two patients with a poor clinical history (recurrent gastrointestinal haemorrhage, older age, severe comorbidity, anticoagulation, contraindication to β-blockers), successfully treated using only octreotide long-active release (LAR).
A 73-year-old man was admitted six times (32 days of hospital stay) in the previous six months because of recurrent episodes of melaena. Medical history included type 1 diabetes, three myocardial infarctions and multivessel disease treated by triple-bypass graft surgery (left ventricular ejection fraction 35%), ischaemic stroke due to total occlusion of the right carotid artery, surgically solved, and occlusion of the …