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Samanta A, Poddar U, Sarma MS, Srivastava A, Yachha SK, Mohindra S. Endoscopic Band Ligation in Blue Rubber Bleb Nevus Syndrome: A Report of Two Children. JPGN REPORTS 2023; 4:e344. [PMID: 38034424 PMCID: PMC10684117 DOI: 10.1097/pg9.0000000000000344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Accepted: 06/15/2023] [Indexed: 12/02/2023]
Abstract
Blue rubber bleb nevus syndrome (BRBNS) is a rare congenital disorder presenting with multifocal venous malformations of the skin, soft tissues, and gastrointestinal (GI) tract. Patients usually present with chronic anemia resulting from occult GI bleeding and sometimes with massive GI bleeding. We report 2 children with blue rubber bleb nevus syndrome with GI bleeding: 1 with obscure GI bleeding and the other with overt GI bleeding. In both cases, the presence of cutaneous lesions provided useful clues toward diagnosis. Colonoscopy and upper GI endoscopy revealed bluish polypoidal lesions in the GI tract. Capsule endoscopy helped in disease mapping. Both of them were successfully treated with endoscopic band ligation and nonselective beta-blockers, which resulted in an improvement in their hemoglobin levels. Our cases highlight the successful use of endoscopic band ligation of GI lesions as a therapeutic modality. It is important for gastroenterologists to be aware of this rare condition for current diagnosis.
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Affiliation(s)
| | - Ujjal Poddar
- From the Departments of Pediatric Gastroenterology
| | | | | | | | - Samir Mohindra
- Gastroentrology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
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Yu Y, Shen B, Zhang C, Zhang J, Cao L, Lu P, Liu M. Successful en bloc resection of large esophageal hemangioma by endoscopic submucosal dissection: A case report. Medicine (Baltimore) 2020; 99:e22821. [PMID: 33120807 PMCID: PMC7581152 DOI: 10.1097/md.0000000000022821] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
RATIONALE With the development of endoscopic techniques, endoscopic therapy began to play an important role in the management of esophageal hemangiomas. PATIENTS CONCERNS A large esophageal submucosal tumor (2.5 cm), which was suspected to be an esophageal hemangioma, was diagnosed in a 50-year-old woman. DIAGNOSIS Esophageal hemangioma INTERVENTIONS:: Endoscopic submucosal dissection was performed for tumor removal. OUTCOMES Histopathological results revealed hemangioma. No complication or recurrence was observed in the 17-month follow-up period. LESSONS Our successful experience showed that endoscopic submucosal dissection is an effective and a safe approach to treat large esophageal hemangiomas (2.5 cm).
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Affiliation(s)
- Yan Yu
- Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
| | - Bingzheng Shen
- Department of Pharmacy, Renmin Hospital of Wuhan University
| | - Chao Zhang
- Institute of Pathology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan
| | - Jiqiao Zhang
- Department of Gastroenterology, Minda Hospital of Hubei Minzu University, Enshi City, China
| | - Li Cao
- Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
| | - Panpan Lu
- Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
| | - Mei Liu
- Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
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Kumar N, Adam SZ, Goodhartz LA, Hoff FL, Lo AA, Miller FH. Beyond hepatic hemangiomas: the diverse appearances of gastrointestinal and genitourinary hemangiomas. ACTA ACUST UNITED AC 2016; 40:3313-29. [PMID: 26239397 DOI: 10.1007/s00261-015-0515-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Hemangiomas are common lesions, best known for their appearance in the liver. Their appearance in less common locations, such as the gastrointestinal and genitourinary tracts, is less well known. We will review the typical and atypical appearance of hemangiomas in these locations on sonography, CT, and MRI.
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Affiliation(s)
- Nishant Kumar
- Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 North Saint Clair St. Suite 800, Chicago, USA
| | - Sharon Z Adam
- Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 North Saint Clair St. Suite 800, Chicago, USA
| | - Lori A Goodhartz
- Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 North Saint Clair St. Suite 800, Chicago, USA
| | - Frederick L Hoff
- Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 North Saint Clair St. Suite 800, Chicago, USA
| | - Amy A Lo
- Department of Pathology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, USA
| | - Frank H Miller
- Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 North Saint Clair St. Suite 800, Chicago, USA.
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Baek IH, Jeon JW, Shin HP, Cha JM, Joo KR, Lee JI, Won KY, Min KW. Successful en bloc resection of an esophageal hemangioma by combined EBL & EMR: a case report and technical review. Transl Gastroenterol Hepatol 2016; 1:45. [PMID: 28138612 DOI: 10.21037/tgh.2016.05.07] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Accepted: 05/16/2016] [Indexed: 12/27/2022] Open
Abstract
A 58-year-old male was diagnosed esophageal hemangioma during a endoscopy in regular examination. The patient was referred to the department of gastroenterology in our hospital to treatment. Combined endoscopic band ligation (EBL) and endoscopic mucosal resection (EMR) was performed for diagnostic treatment. Histopathological results revealed hemangioma. Even though several approaches such as esophagectomy, endoscopic removal, sclerotherapy, and laser therapy have been used to remove the esophageal hemangiomas, recently less invasive methods were preferred. Here we describe a case of esophageal hemangioma removed by EBL & EMR.
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Affiliation(s)
- Il Hyun Baek
- Department of Gastroenterology, Kyung Hee University School of Medicine, Seoul, Korea
| | - Jung Won Jeon
- Department of Gastroenterology, Kyung Hee University School of Medicine, Seoul, Korea
| | - Hyun Phil Shin
- Department of Gastroenterology, Kyung Hee University School of Medicine, Seoul, Korea
| | - Jae Myung Cha
- Department of Gastroenterology, Kyung Hee University School of Medicine, Seoul, Korea
| | - Kwang Ro Joo
- Department of Gastroenterology, Kyung Hee University School of Medicine, Seoul, Korea
| | - Joung Il Lee
- Department of Gastroenterology, Kyung Hee University School of Medicine, Seoul, Korea
| | - Kyu Yeoun Won
- Department of Pathology, Kyung Hee University School of Medicine, Seoul, Korea
| | - Kyeong Won Min
- Department of Human Resource Development, Graduate School of Chung-Ang University, Seoul, Korea
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Liu WW, Xiao F, Yu LZ, Lin L, Shi RH, Yang SP. Clinical characteristics and treatment of esophageal hemangioma: Analysis of 48 cases. Shijie Huaren Xiaohua Zazhi 2014; 22:3464. [DOI: 10.11569/wcjd.v22.i23.3464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
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Alvarez Martín MJ, Garcia Navarro A, Diez Vigil JL, Becerra Massare P, Ferrón Orihuela A. Cervical esophageal hemangioma. Cir Esp 2013; 92:494-5. [PMID: 24332636 DOI: 10.1016/j.ciresp.2013.09.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2013] [Revised: 09/26/2013] [Accepted: 09/28/2013] [Indexed: 01/17/2023]
Affiliation(s)
| | - Ana Garcia Navarro
- Servicio de Cirugía General, Hospital Universitario Virgen de las Nieves, Granada, España
| | - Jose Luis Diez Vigil
- Servicio de Cirugía General, Hospital Universitario Virgen de las Nieves, Granada, España
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Lee JC, Kim JW, Lee YJ, Lee SR, Park CR, Jung JP. Cervical esophageal hemangioma combined with thyroid cancer. THE KOREAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 2011; 44:311-3. [PMID: 22263178 PMCID: PMC3249329 DOI: 10.5090/kjtcs.2011.44.4.311] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2011] [Revised: 06/01/2011] [Accepted: 06/03/2011] [Indexed: 01/01/2023]
Abstract
Hemangiomas that arise in cervical esophagus are extremely rare, representing 3.3% of all benign esophageal tumors. Although endoscopic mucosal resection (EMR) and potassium titanyl phosphate/yttrium aluminum garnet (KTP/YAG) laser therapy have been used with success for small tumors, the safety and efficacy in the case of large tumors remains uncertain. We report the successful resection of cervical esophageal hemangioma through a cervical esophagotomy in a patient with thyroid cancer who needed a cervical collar incision.
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Affiliation(s)
- Jong Cheol Lee
- Department of Otorhinolaryngology, Ulsan University Hospital, University of Ulsan College of Medicine, Korea
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Abstract
PURPOSE To evaluate the outcome and complications of sclerotherapy with injection ethanolamine oleate for the treatment of venous malformations (VMs). METHODS Eighty-three patients' (39 males and 44 females) age ranging from 3 months to 21 years with 85 lesions were followed clinically for about 1 year following treatment with injection of ethanolamine oleate. The cases were enrolled between January 2006 and December 2009. The amount of ethanolamine oleate per treatment session ranged from 0.50 to 10 ml, and maximum dose was 0.40 ml per kg body weight. All patients were evaluated after 8 weeks of last injection session. All of the treatment sessions were performed on a day-case basis. RESULTS Eighty-five lesions have under gone 201 sclerotherapy sessions with 39 requiring one, 27 requiring two and 19 lesions requiring more than two sessions. Sclerotherapy with ethanolamine oleate provided complete resolution of symptoms in 79 lesions and significant improvement of 6 lesions. There is no recurrence of studied patients. All patients experienced pain and swelling to a variable degree for short duration. Skin sloughed out in four patients which were healed spontaneously. No other complications were observed in our study. CONCLUSION The treatment of VMs with injection ethanolamine oleate is safe and effective.
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Affiliation(s)
- Shafiqul Hoque
- Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
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Sogabe M, Taniki T, Fukui Y, Yoshida T, Okamoto K, Okita Y, Hayashi H, Kimuara E, Kimura Y, Onose Y, Ozaki Y, Iwaki H, Sato K, Hibino S, Sawada S, Muguruma N, Okamura S, Ito S. A patient with esophageal hemangioma treated by endoscopic mucosal resection: a case report and review of the literature. THE JOURNAL OF MEDICAL INVESTIGATION 2006; 53:177-182. [PMID: 16538013 DOI: 10.2152/jmi.53.177] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
In a 58-year-old male, upper digestive endoscopy revealed a protruding lesion in the esophagus on a medical examination. The patient was referred to the Department of Surgery in our hospital to undergo surgery. On the initial consultation, upper digestive endoscopy showed a smooth, soft, black purple, type II protruding lesion measuring approximately 25 mm at 35 cm apart from the incisor. For diagnostic treatment and patient's request, endoscopic mucosal resection (EMR) was performed. The resected specimen measured 25 mm x 25 mm. The histological findings suggested cavernous hemangioma. To treat esophageal hemangioma, esohagectomy, tumor enucleation, or sclerotherapy has been performed. However, recently, thorough preoperative examination, such as endoscopic ultrasonography (EUS), has facilitated endoscopic resection, such as EMR.
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Affiliation(s)
- Masahiro Sogabe
- Department of Digestive and Cardiovascular Medicine, The University of Tokushima Graduate School, Japan
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Abstract
Gastrointestinal endoscopy has changed in recent years from a largely diagnostic to a highly therapeutic procedure. Technical advances in endoscopic ultrasound as well as new devices designed for endoscopic mucosal resection (EMR) have opened the field to many therapeutic possibilities. Endoscopic resection is technically challenging, and while our colleagues in the Far East have been using such techniques for over a decade, EMR in the West is still in its infancy. The decision to resect a benign esophageal tumor must take several factors into account including whether the patient is symptomatic; characteristics of the particular tumor (including the potential for malignant transformation, risk of bleeding, and obstruction); and the available therapeutic options. Endoscopic resection of benign esophageal tumors is an attractive option as it is a safe and minimally invasive procedure. Its use is limited, however, to smaller tumors arising from the mucosal or submucosal layers. In this article we examine the techniques used in endoscopic mucosal resection and review the literature on this subject.
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Affiliation(s)
- Timothy Kinney
- Section of Endoscopy and Therapeutics, University of Chicago, Chicago, IL 60637, USA
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Dwivedi M, Misra SP. Blue rubber bleb nevus syndrome causing upper GI hemorrhage: a novel management approach and review. Gastrointest Endosc 2002; 55:943-6. [PMID: 12024162 DOI: 10.1067/mge.2002.124212] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Affiliation(s)
- Manisha Dwivedi
- Department of Gastroenterology, Moti Lal Nehru Medical College, Allababad, India
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