Endoscopic therapy for esophageal hematoma with blue rubber bleb nevus syndrome

Takasumi, Mika; Hikichi, Takuto; Takagi, Tadayuki; Satō, Masaki; Suzuki, Rei; Watanabe, Ko; Nakamura, Jun; Sugimoto, Mitsuru; Waragai, Yuichi; Kikuchi, Hitomi; Konno, Naoki; Watanabe, Hiroshi; Obara, Katsutoshi; Ohira, Hiromasa

doi:10.4253/wjge.v6.i12.630

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…Notably, PDI has been demonstrated to be useful for treating SSc patients with small-bowel angioectasia. For example, the usefulness of PDI for treating gastrointestinal bleeding has been reported in several studies (30)(31)(32)(33). Consistently, we previously reported the usefulness of PDI for treating Type 1a angioectasia and PDI combined with APC or clipping for treating Type 1b angioectasia (4,5).…”

Section: Discussionsupporting

confidence: 84%

Characteristics and Treatment Outcomes of Small-bowel Angioectasia in Systemic Sclerosis Patients: A Retrospective Observational Study

et al. 2022

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Objective Systemic sclerosis (SSc) is defined as an autoimmune disease presenting with fibrosis of various organs and vascular endothelial damage. Vascular lesions, including small-bowel angioectasias, are also frequently detected in SSc patients. Polidocanol injection (PDI) is a safe and effective hemostatic treatment for gastrointestinal bleeding. We evaluated the outcomes of PDI for small-bowel angioectasia in SSc patients. Methods We retrospectively evaluated 65 consecutive SSc patients (61 women; mean age, 64.3 years old) who underwent capsule endoscopy (CE) and/or double-balloon endoscopy at Hiroshima University Hospital between April 2012 and December 2019. Patients Patients were stratified according to the presence of small-bowel angioectasia. Among patients who underwent CE during the same period, those with small-bowel angioectasia without concomitant diseases were compared with SSc patients with small-bowel angioectasia. Clinical and endoscopic characteristics, treatment outcomes, and the incidence of metachronous small-bowel angioectasia after PDI were evaluated. Results SSc patients with small-bowel angioectasia exhibited significantly lower hemoglobin levels and a significantly higher incidence of skin telangiectasia than those without small-bowel angioectasia. On a multivariate analysis of the presence of small-bowel angioectasia, anemia and skin telangiectasia were significant independent factors. SSc patients with small-bowel angioectasia included a higher proportion of women and exhibited a significantly higher incidence of metachronous small-bowel angioectasia than X [please define X]. The characteristics of small-bowel angioectasia and outcomes of PDI were not significantly different between the two groups. No post-treatment rebleeding cases or adverse events were noted. Conclusion CE should be performed for SSc patients with anemia and/or skin telangiectasia. PDI is effective for SSc patients with small-bowel angioectasia.

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Section: Discussionsupporting

confidence: 84%

Characteristics and Treatment Outcomes of Small-bowel Angioectasia in Systemic Sclerosis Patients: A Retrospective Observational Study

et al. 2022

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“…Endoscopic resection of large intussuscepted polyps may cause perforation as a result of involvement of the serosa, and surgical resection may be required in some cases . Sclerotherapy using polidocanol has been reported to be useful for hemangioma, especially for multiple hemangiomas associated with blue rubber‐bleb nevus syndrome …”

Section: Commentarymentioning

confidence: 99%

Clinical Practice Guideline for Enteroscopy

Yamamoto

Ogata

Matsumoto

et al. 2017

Digestive Endoscopy

139

158

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Management of small bowel diseases has evolved since the advent of capsule endoscopy (CE) and balloon‐assisted enteroscopy (BAE). One of the most common indications for enteroscopy is obscure gastrointestinal bleeding (OGIB), followed by small bowel stenosis, tumors, and inflammatory bowel disease. Although enteroscopes have been regarded as useful tools, correct guidelines are required to ensure that we manipulate these enteroscopes safely and efficiently in clinical practice. Herein, the Japanese Gastroenterological Endoscopy Society has developed ‘Clinical Practice Guidelines for Enteroscopy’ in collaboration with the Japanese Society of Gastroenterology, the Japanese Gastroenterological Association, and the Japanese Association for Capsule Endoscopy. These guidelines are based on the evidence available until now, but small bowel endoscopy is a relatively new technology, so the guidelines include recommendations based on a consensus reached among experts when the evidence has not been considered sufficient. These guidelines were not designed to be disease‐based, but focus on how we should use small bowel CE and BAE in everyday clinical practice.

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“…Endoscopic interventions, such as band ligation, argon plasma coagulation, laser photocoagulation, polypectomy with electrocauterization, and sclerosis for other GI lesions, have been utilized in numerous case reports with variable outcomes ( 12 – 14 ). These reports indicate thermal damage in the small bowel, which can result in perforation.…”

Section: Discussionmentioning

confidence: 99%

Blue rubber bleb nevus syndrome: a rare presentation of late-onset anemia and lower gastrointestinal bleeding without cutaneous manifestations

Goud

Abdelqader

Walters

et al. 2016

Journal of Community Hospital Internal Medicine Perspectives

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Blue rubber bleb nevus syndrome (BRBNS) is a congenital disorder with characteristic venous anomalies that can present with varying degree of blood loss. The most clinically significant symptoms in adults include gastrointestinal (GI) bleeding and iron deficiency anemia. Severe complications can include intestinal torsion, intussusception, and even perforation, with each leading to significant morbidity and mortality. This report serves to give a brief understanding of this rare disease along with current diagnostic and therapeutic options.

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Endoscopic therapy for esophageal hematoma with blue rubber bleb nevus syndrome

Abstract: A 57-year

Cited by 6 publications

References 9 publications

Characteristics and Treatment Outcomes of Small-bowel Angioectasia in Systemic Sclerosis Patients: A Retrospective Observational Study

Characteristics and Treatment Outcomes of Small-bowel Angioectasia in Systemic Sclerosis Patients: A Retrospective Observational Study

Clinical Practice Guideline for Enteroscopy

Blue rubber bleb nevus syndrome: a rare presentation of late-onset anemia and lower gastrointestinal bleeding without cutaneous manifestations

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