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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins, Inc.
2023
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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. |
format | Online Article Text |
id | pubmed-10684117 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins, Inc. |
record_format | MEDLINE/PubMed |
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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