Chen Z, Wang L, Yu PJ. Early and accurate diagnosis and selection of appropriate treatment plans are crucial for patients with gastrointestinal hemangiomas. World J Gastrointest Surg 2025; 17(2): 99432 [DOI: 10.4240/wjgs.v17.i2.99432]
Corresponding Author of This Article
Peng-Jie Yu, Department of Anorectal Surgery, The Affiliated Hospital of Qinghai University, No. 29 Tongren Road, Xining 810000, Qinghai Province, China. hnypj768@126.com
Research Domain of This Article
Surgery
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Feb 27, 2025; 17(2): 99432 Published online Feb 27, 2025. doi: 10.4240/wjgs.v17.i2.99432
Early and accurate diagnosis and selection of appropriate treatment plans are crucial for patients with gastrointestinal hemangiomas
Zhou Chen, Liang Wang, Peng-Jie Yu
Zhou Chen, Department of Emergency Medicine, The Second Affiliated Hospital of Guangdong University, Zhanjiang 524000, Guangdong Province, China
Liang Wang, Department of Gastrointestinal Oncology Surgery, Affiliated Hospital of Qinghai University, Xining 810000, Qinghai Province, China
Peng-Jie Yu, Department of Anorectal Surgery, The Affiliated Hospital of Qinghai University, Xining 810000, Qinghai Province, China
Co-first authors: Zhou Chen and Liang Wang.
Author contributions: Chen Z and Wang L co-wrote the manuscript, sharing the first authorship; Yu PJ contributed to the editorial concept and design; Chen Z reviewed the literature; Wang L revised and reviewed the manuscript; all authors have read and approved the final manuscript.
Supported by Science and Technology Plan of Qinghai Province, No. 2023-ZJ-787.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Peng-Jie Yu, Department of Anorectal Surgery, The Affiliated Hospital of Qinghai University, No. 29 Tongren Road, Xining 810000, Qinghai Province, China. hnypj768@126.com
Received: July 22, 2024 Revised: November 15, 2024 Accepted: December 3, 2024 Published online: February 27, 2025 Processing time: 183 Days and 19.6 Hours
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.
Core Tip: For patients presenting with unexplained gastrointestinal bleeding, recurrent melena, and chronic anemia, gastrointestinal hemangiomas should be highly suspected. Active endoscopic and other diagnostic examinations are essential to confirm the lesion and prevent misdiagnosis or inappropriate treatment. Following a confirmed diagnosis, a comprehensive assessment of the patient's condition is necessary to determine the most suitable treatment method, whether surgical intervention, endoscopic therapy, or minimally invasive interventional therapy.
