Abstract
Intestinal phlebectasias are venous varicosities, without portal hypertension, consisting of a markedly dilated tortuous vein with a normal vascular wall and scant connective tissue stroma. The jejunum is the most commonly involved site, and so the lesions had usually been beyond the reach of a conventional endoscope before the advent of videocapsule endoscopy (VCE) and double-balloon endoscopy (DBE). This case series demonstrated that VCE was useful for screening and DBE enabled diagnosis and endoscopic treatment for bleeding lesions deep within the small bowel. Heretofore, surgery had been the only definitive therapy for intestinal phlebectasias, but is employed sparingly because of their multiplicity and extent. Enteroscopic injection sclerotherapy using polidocanol proved beneficial for extinguishing phlebectasias. Although intestinal phlebectasias relapse, repeated enteroscopic injection sclerotherapy might preclude bleeding and anemia. This article is part of an expert video encyclopedia.
| Original language | English |
|---|---|
| Pages (from-to) | 246-247 |
| Number of pages | 2 |
| Journal | Video Journal and Encyclopedia of GI Endoscopy |
| Volume | 1 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 28-11-2013 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Radiology Nuclear Medicine and imaging
- Gastroenterology
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Intestinal Phlebectasias Treated by Endoscopic Injection Sclerotherapy at Double-Balloon Endoscopy. / Omiya, Naoki; Nakamura, M.; Funasaka, K.; Miyahara, R.; Ohno, E.; Kawashima, H.; Itoh, A.; Hirooka, Y.; Toyota, H.; Goto, H.
In: Video Journal and Encyclopedia of GI Endoscopy, Vol. 1, No. 1, 28.11.2013, p. 246-247.Research output: Contribution to journal › Article
TY - JOUR
T1 - Intestinal Phlebectasias Treated by Endoscopic Injection Sclerotherapy at Double-Balloon Endoscopy
AU - Omiya, Naoki
AU - Nakamura, M.
AU - Funasaka, K.
AU - Miyahara, R.
AU - Ohno, E.
AU - Kawashima, H.
AU - Itoh, A.
AU - Hirooka, Y.
AU - Toyota, H.
AU - Goto, H.
PY - 2013/11/28
Y1 - 2013/11/28
N2 - Intestinal phlebectasias are venous varicosities, without portal hypertension, consisting of a markedly dilated tortuous vein with a normal vascular wall and scant connective tissue stroma. The jejunum is the most commonly involved site, and so the lesions had usually been beyond the reach of a conventional endoscope before the advent of videocapsule endoscopy (VCE) and double-balloon endoscopy (DBE). This case series demonstrated that VCE was useful for screening and DBE enabled diagnosis and endoscopic treatment for bleeding lesions deep within the small bowel. Heretofore, surgery had been the only definitive therapy for intestinal phlebectasias, but is employed sparingly because of their multiplicity and extent. Enteroscopic injection sclerotherapy using polidocanol proved beneficial for extinguishing phlebectasias. Although intestinal phlebectasias relapse, repeated enteroscopic injection sclerotherapy might preclude bleeding and anemia. This article is part of an expert video encyclopedia.
AB - Intestinal phlebectasias are venous varicosities, without portal hypertension, consisting of a markedly dilated tortuous vein with a normal vascular wall and scant connective tissue stroma. The jejunum is the most commonly involved site, and so the lesions had usually been beyond the reach of a conventional endoscope before the advent of videocapsule endoscopy (VCE) and double-balloon endoscopy (DBE). This case series demonstrated that VCE was useful for screening and DBE enabled diagnosis and endoscopic treatment for bleeding lesions deep within the small bowel. Heretofore, surgery had been the only definitive therapy for intestinal phlebectasias, but is employed sparingly because of their multiplicity and extent. Enteroscopic injection sclerotherapy using polidocanol proved beneficial for extinguishing phlebectasias. Although intestinal phlebectasias relapse, repeated enteroscopic injection sclerotherapy might preclude bleeding and anemia. This article is part of an expert video encyclopedia.
UR - http://www.scopus.com/inward/record.url?scp=84888156108&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84888156108&partnerID=8YFLogxK
U2 - 10.1016/S2212-0971(13)70105-5
DO - 10.1016/S2212-0971(13)70105-5
M3 - Article
VL - 1
SP - 246
EP - 247
JO - Video Journal and Encyclopedia of GI Endoscopy
JF - Video Journal and Encyclopedia of GI Endoscopy
SN - 2212-0971
IS - 1
ER -