| Theme |
Vascular Disorder of Gastro-intestinal Tract |
| Title |
Diagnosis and Treatment of Blue Rubber Bleb Nevus Syndrome |
| Author |
Yasuhiko Hamada |
Department of Endoscopy, Hiroshima University Hospital |
| Author |
Shinji Tanaka |
Department of Endoscopy, Hiroshima University Hospital |
| Author |
Shiro Oka |
Department of Endoscopy, Hiroshima University Hospital |
| Author |
Takayoshi Shishido |
Department of Gastroenterology, Hiroshima University Hospital |
| Author |
Hiroki Imagawa |
Department of Gastroenterology, Hiroshima University Hospital |
| Author |
Kazuaki Chayama |
Department of Gastroenterology, Hiroshima University Hospital |
| [ Summary ] |
Blue rubber bleb nevus syndrome (BRBNS) is a rare disease characterized by hemangioma of the skin and gastrointestinal (GI) tract. Since GI hemangioma often causes severe GI bleeding, it usually requires treatment. The primary procedures for GI hemangioma are surgical resection and endoscopic treatment. Because endoscopic treatment is safe and non-invasive, treatment is now performed for GI hemangioma. For endoscopic treatment of GI hemangioma with BRBNS, we recommend endoscopic sclerotherapy with polidocanol. This is because sclerotherapy with polidocanol is a safe and effective treatment. Another reason is that sclerothearpy is also relatively easy to use, when ballon endoscopy is performed. |