Early and accurate diagnosis and selection of appropriate treatment plans are crucial for patients with gastrointestinal hemangiomas.

IF 1.7 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Surgery Pub Date : 2025-02-27 DOI:10.4240/wjgs.v17.i2.99432
Zhou Chen, Liang Wang, Peng-Jie Yu
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Abstract

Gastrointestinal hemangioma (GIH) is clinically rare, accounting for 7%-10% of benign gastrointestinal tumors and 0.5% of systemic hemangiomas. GIH can occur as either solitary or multiple lesions, with gastrointestinal bleeding as a significant clinical manifestation. Understanding the clinical and endoscopic features of GIH is essential for improving diagnostic accuracy, particularly through endoscopy and selective arteriography, which are highly effective in diagnosing GIH and preventing misdiagnosis and inappropriate treatment. Upon confirmed diagnosis, it is essential to thoroughly evaluate the patient's condition to determine the most suitable treatment modality-whether surgical, endoscopic, or minimally invasive intervention. The minimally invasive interventional partial embolization therapy using polyvinyl alcohol particles, proposed and implemented by Pospisilova et al, has achieved excellent clinical outcomes. This approach reduces surgical trauma and the inherent risks of traditional surgical treatments.

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早期准确的诊断和选择合适的治疗方案对胃肠道血管瘤患者至关重要。
胃肠道血管瘤(GIH)临床罕见,约占胃肠道良性肿瘤的7%-10%,占全身性血管瘤的0.5%。GIH可单发或多发病变,以胃肠道出血为主要临床表现。了解GIH的临床和内镜特征对于提高诊断准确性至关重要,特别是通过内镜和选择性动脉造影,这对诊断GIH和防止误诊和不当治疗非常有效。确诊后,必须彻底评估患者的病情,以确定最合适的治疗方式,无论是手术、内窥镜还是微创干预。posspisilova等人提出并实施的聚乙烯醇颗粒微创介入部分栓塞治疗取得了良好的临床效果。这种方法减少了手术创伤和传统手术治疗的固有风险。
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