Anzinger M, Gospos J, Pitzl H, Koletzko S, Heldwein W, Schmitt W
1. Medizinische Abteilung, Klinikum München-Neuperlach.
Z Gastroenterol. 2006 Nov;44(11):1141-4. doi: 10.1055/s-2006-927296.
This is the first report about the endoscopic removal of hemangiomas in the gastrointestinal tract using the double-balloon enteroscopic technique. We report on a 16-year-old female patient with a 10-year history of chronic anemia due to recurrent gastrointestinal bleeding. Besides permanent iron substitution, up to 3 blood transfusions per week are necessary. At birth a blue rubber-bleb nevus syndrome was diagnosed, with blue angiomatous lesions preferring her skin and digestive tract. In the 8 years before admittance numerous conventional endoscopic procedures and one intraoperative endoscopy with laser coagulation of many cavernous hemangiomas were performed. In our department the successful treatment of 150 hemangiomas with argon plasma coagulation or polypectomy in combination with double-balloon enteroscopy and conventional endoscopy was achieved without complications.
这是关于使用双气囊小肠镜技术内镜下切除胃肠道血管瘤的首例报告。我们报告了一名16岁女性患者，因反复胃肠道出血有10年慢性贫血病史。除了长期铁剂替代治疗外，每周还需要输血多达3次。出生时诊断为蓝色橡皮疱痣综合征，蓝色血管瘤性病变多见于皮肤和消化道。入院前8年进行了多次传统内镜检查以及一次术中内镜检查，对许多海绵状血管瘤进行了激光凝固治疗。在我们科室，通过氩等离子体凝固或息肉切除术联合双气囊小肠镜和传统内镜成功治疗了150例血管瘤，无并发症发生。
