Intestinal Phlebectasias Treated by Endoscopic Injection Sclerotherapy at Double-Balloon Endoscopy

N. Ohmiya, M. Nakamura, K. Funasaka, R. Miyahara, E. Ohno, H. Kawashima, A. Itoh, Y. Hirooka, H. Toyota, H. Goto

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)246-247
Number of pages2
JournalVideo Journal and Encyclopedia of GI Endoscopy
Volume1
Issue number1
DOIs
Publication statusPublished - 28-11-2013
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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    Ohmiya, N., Nakamura, M., Funasaka, K., Miyahara, R., Ohno, E., Kawashima, H., Itoh, A., Hirooka, Y., Toyota, H., & Goto, H. (2013). Intestinal Phlebectasias Treated by Endoscopic Injection Sclerotherapy at Double-Balloon Endoscopy. Video Journal and Encyclopedia of GI Endoscopy, 1(1), 246-247. https://doi.org/10.1016/S2212-0971(13)70105-5