The surgery for blue rubber bleb nevus syndrome

•Our results indicated the endoscopy examination was the best diagnostic way for Blue Rubber Bleb Nevus Syndrome.•The surgical eradication was the most effective treatment for Blue Rubber Bleb Nevus Syndrome.•Patients with an overwhelming number of lesions may require staged operative procedures.

Blue rubber bleb nevus syndrome (BRBNS) is a rare vascular anomaly syndrome consisting of multifocal venous malformations (VM). The malformations are most.prominent in the skin, soft tissues and gastrointestinal (GI) tract. Chronic bleeding induced by the vascular malformation (VM) lesions in gastrointestinal (GI) tract was the main clinical problem which should be treated. In this paper, two patients with BRBNS were treated by surgery for gastrointestinal bleeding. Our results indicated the endoscope examination was the best diagnostic way for VM in GI. Although many therapeutic methods have been tried, aggressive surgical eradication was the most effective for venous anomalies that cause GI bleeding in BRBNS.