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Endoscopic Band Ligation in Blue Rubber Bleb Nevus Syndrome: A Report of Two Children

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...

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Autores principales: Samanta, Arghya, Poddar, Ujjal, Sarma, Moinak Sen, Srivastava, Anshu, Yachha, Surender Kumar, Mohindra, Samir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10684117/
https://www.ncbi.nlm.nih.gov/pubmed/38034424
http://dx.doi.org/10.1097/PG9.0000000000000344
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author Samanta, Arghya
Poddar, Ujjal
Sarma, Moinak Sen
Srivastava, Anshu
Yachha, Surender Kumar
Mohindra, Samir
author_facet Samanta, Arghya
Poddar, Ujjal
Sarma, Moinak Sen
Srivastava, Anshu
Yachha, Surender Kumar
Mohindra, Samir
author_sort Samanta, Arghya
collection PubMed
description 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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spelling pubmed-106841172023-11-30 Endoscopic Band Ligation in Blue Rubber Bleb Nevus Syndrome: A Report of Two Children Samanta, Arghya Poddar, Ujjal Sarma, Moinak Sen Srivastava, Anshu Yachha, Surender Kumar Mohindra, Samir JPGN Rep Case Report 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. Lippincott Williams & Wilkins, Inc. 2023-08-16 /pmc/articles/PMC10684117/ /pubmed/38034424 http://dx.doi.org/10.1097/PG9.0000000000000344 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Samanta, Arghya
Poddar, Ujjal
Sarma, Moinak Sen
Srivastava, Anshu
Yachha, Surender Kumar
Mohindra, Samir
Endoscopic Band Ligation in Blue Rubber Bleb Nevus Syndrome: A Report of Two Children
title Endoscopic Band Ligation in Blue Rubber Bleb Nevus Syndrome: A Report of Two Children
title_full Endoscopic Band Ligation in Blue Rubber Bleb Nevus Syndrome: A Report of Two Children
title_fullStr Endoscopic Band Ligation in Blue Rubber Bleb Nevus Syndrome: A Report of Two Children
title_full_unstemmed Endoscopic Band Ligation in Blue Rubber Bleb Nevus Syndrome: A Report of Two Children
title_short Endoscopic Band Ligation in Blue Rubber Bleb Nevus Syndrome: A Report of Two Children
title_sort endoscopic band ligation in blue rubber bleb nevus syndrome: a report of two children
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10684117/
https://www.ncbi.nlm.nih.gov/pubmed/38034424
http://dx.doi.org/10.1097/PG9.0000000000000344
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