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Polidocanol sclerotherapy for multiple gastrointestinal hemangiomas: A case report

BACKGROUND: Gastrointestinal (GI) hemangioma has a low incidence among systemic hemangiomas, and some GI hemangiomas occur in the intestine, stomach, and esophagus. Polidocanol has been increasingly used in sclerotherapy. However, this paper reports that minimally invasive treatment of multiple hema...

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Autores principales: Yao, Huan, Xie, Yu-Xin, Guo, Jian-Yi, Wu, Hui-Chao, Xie, Rui, Shi, Guo-Qing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896683/
https://www.ncbi.nlm.nih.gov/pubmed/33644219
http://dx.doi.org/10.12998/wjcc.v9.i6.1483
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author Yao, Huan
Xie, Yu-Xin
Guo, Jian-Yi
Wu, Hui-Chao
Xie, Rui
Shi, Guo-Qing
author_facet Yao, Huan
Xie, Yu-Xin
Guo, Jian-Yi
Wu, Hui-Chao
Xie, Rui
Shi, Guo-Qing
author_sort Yao, Huan
collection PubMed
description BACKGROUND: Gastrointestinal (GI) hemangioma has a low incidence among systemic hemangiomas, and some GI hemangiomas occur in the intestine, stomach, and esophagus. Polidocanol has been increasingly used in sclerotherapy. However, this paper reports that minimally invasive treatment of multiple hemangiomas with large diameters can achieve satisfactory results by multipoint injection. CASE SUMMARY: A 46-year-old female patient was hospitalized in another hospital for cough. We accidentally found thickening of the lower esophagus by chest computed tomography. The patient was eventually diagnosed with multiple GI hemangiomas and underwent a series of examinations including esophagogastroduodenoscopy (EGD), endoscopic ultrasound, and magnetic resonance imaging. We calculated the dose of polidocanol according to the volumes of the hemangiomas, fixed the target vein with the help of a transparent cap, and then administered polidocanol via multipoint injection into the hemangiomas under endoscopic guidance. EGD and endoscopic ultrasound showed that the hemangiomas disappeared. The color of the esophageal mucosa returned to normal 1 mo after sclerotherapy. CONCLUSION: Sclerotherapy may be a safe and effective method for treating multiple hemangiomas of the alimentary canal.
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spelling pubmed-78966832021-02-26 Polidocanol sclerotherapy for multiple gastrointestinal hemangiomas: A case report Yao, Huan Xie, Yu-Xin Guo, Jian-Yi Wu, Hui-Chao Xie, Rui Shi, Guo-Qing World J Clin Cases Case Report BACKGROUND: Gastrointestinal (GI) hemangioma has a low incidence among systemic hemangiomas, and some GI hemangiomas occur in the intestine, stomach, and esophagus. Polidocanol has been increasingly used in sclerotherapy. However, this paper reports that minimally invasive treatment of multiple hemangiomas with large diameters can achieve satisfactory results by multipoint injection. CASE SUMMARY: A 46-year-old female patient was hospitalized in another hospital for cough. We accidentally found thickening of the lower esophagus by chest computed tomography. The patient was eventually diagnosed with multiple GI hemangiomas and underwent a series of examinations including esophagogastroduodenoscopy (EGD), endoscopic ultrasound, and magnetic resonance imaging. We calculated the dose of polidocanol according to the volumes of the hemangiomas, fixed the target vein with the help of a transparent cap, and then administered polidocanol via multipoint injection into the hemangiomas under endoscopic guidance. EGD and endoscopic ultrasound showed that the hemangiomas disappeared. The color of the esophageal mucosa returned to normal 1 mo after sclerotherapy. CONCLUSION: Sclerotherapy may be a safe and effective method for treating multiple hemangiomas of the alimentary canal. Baishideng Publishing Group Inc 2021-02-26 2021-02-26 /pmc/articles/PMC7896683/ /pubmed/33644219 http://dx.doi.org/10.12998/wjcc.v9.i6.1483 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Yao, Huan
Xie, Yu-Xin
Guo, Jian-Yi
Wu, Hui-Chao
Xie, Rui
Shi, Guo-Qing
Polidocanol sclerotherapy for multiple gastrointestinal hemangiomas: A case report
title Polidocanol sclerotherapy for multiple gastrointestinal hemangiomas: A case report
title_full Polidocanol sclerotherapy for multiple gastrointestinal hemangiomas: A case report
title_fullStr Polidocanol sclerotherapy for multiple gastrointestinal hemangiomas: A case report
title_full_unstemmed Polidocanol sclerotherapy for multiple gastrointestinal hemangiomas: A case report
title_short Polidocanol sclerotherapy for multiple gastrointestinal hemangiomas: A case report
title_sort polidocanol sclerotherapy for multiple gastrointestinal hemangiomas: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896683/
https://www.ncbi.nlm.nih.gov/pubmed/33644219
http://dx.doi.org/10.12998/wjcc.v9.i6.1483
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