Distribution and endoscopic characteristics of elevated lesions in the upper gastrointestinal tract caused by blood vessels and hemangiomas (with video)
10.3760/cma.j.cn321463-20200606-00504
- VernacularTitle:血管及血管瘤所致上消化道黏膜隆起的分布和内镜特点分析（含视频）
- Author:
Lifen XU
1
;
Duanmin HU
;
Wei WU
;
Guilian CHENG
;
Liming XU
;
Weijun WANG
;
Yanmiao DAI
;
Ping ZHANG
Author Information
1. 苏州大学附属第二医院消化科，苏州 215004
- Keywords:
Endoscopy;
Gastrointestinal tract;
Hemangioma;
Upper gastrointestinal submucosal bulge;
Endoscopic ultrasonography
- From:
Chinese Journal of Digestive Endoscopy
2022;39(3):238-241
- CountryChina
- Language:Chinese
-
Abstract:
Endoscopic data of 108 upper gastrointestinal elevated lesions caused by vascular or hemangioma compression by endoscopic ultrasonography (EUS) at the Second Affiliated Hospital of Soochow University, Changshu No.1 People's Hospital, Kushan Hospital of Chinese Medicine and Traditional Chinese Medicine Hospital of Changshu from December 2010 to June 2019 were retrospectively summarized. The results showed that lesions were mainly located in the esophagus [50.9% (55/108)] and stomach [47.2% (51/108)], especially in the middle [40.0% (22/55)] and upper esophagus [36.4% (20/55)], body [66.7% (34/51)] and fundus of stomach [31.4% (16/51)], respectively. The major etiology included splenic artery and aneurysm compression [29.6% (32/108)], aortic compression [23.1% (25/108)], isolated esophageal venous aneurysm compression [13.9% (15/108)] and gastric submucosal vein and venous aneurysm compression [12.0% (13/108)], with diverse endoscopic presentation. The above results suggest that elevated lesions of upper gastrointestinal tract caused by blood vessels and hemangiomas are mostly due to external vascular pressure outside the lumen, but ectopic submucosal arteries and isolated phlebangioma are not uncommon. The lesions are widely distributed with different gastroscopic manifestations. EUS is important for definite diagnosis, and can be combined with color Doppler technique, CT plain scan and angiographic reconstruction if necessary.
