Endoscopic injection sclerotherapy with doxycycline for mediastinal and esophageal lymphangiohemangioma.
Gastrointest Endosc
; 66(6): 1196-200, 2007 Dec.
Article
em En
| MEDLINE
| ID: mdl-18061720
ABSTRACT
BACKGROUND:
Lymphangiohemangioma, also called lymphatic-venous or venolymphatic malformation, is a rare malformation of the lymphatics, with vascular elements. These are low-flow vascular lesions.OBJECTIVE:
To evaluate the feasibility and efficacy of endoscopic injection sclerotherapy with doxycycline for low-flow vascular malformations in the GI tract.DESIGN:
Case report.SETTING:
Academic center. PATIENTS An adult man with lymphangiohemangioma that involved the mediastinum and the esophagus. The esophageal involvement caused dysphagia and chest pain.INTERVENTIONS:
We characterized the lesion with EUS and successfully treated the esophageal and paraesophageal lesions with endoscopic injection sclerotherapy by using doxycycline. MAIN OUTCOME MEASUREMENT Symptom resolution and complications.RESULTS:
The patient's esophageal symptoms resolved with sclerotherapy. This is the first reported case of lymphangiohemangioma with esophageal involvement and the first reported case of endoscopic injection sclerotherapy by using doxycycline in the GI tract.LIMITATIONS:
Case report and short follow-up period.CONCLUSIONS:
Endoscopic injection sclerotherapy with doxycycline for lymphatic and low-flow vascular malformations in the GI tract is feasible, easy, safe, and effective.
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Base de dados:
MEDLINE
Assunto principal:
Escleroterapia
/
Doxiciclina
/
Hemorragia Gastrointestinal
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article