Modified Soave procedure for the treatment of vascular malformations involving anorectum and sigmoid colon
Abstract Purpose The objective of this study is to introduce a modified Soave procedure for the treatment of vascular malformations involving the anorectum and sigmoid colon (VMARS) in children. Methods Cases of 12 children with VMARS between 2000 and 2008 were reviewed and analyzed. The confirmed d...
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| Veröffentlicht in: | Journal of pediatric surgery 2009-12, Vol.44 (12), p.2359-2363 |
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| creator | Lv, Zhibao Xiao, Xianmin Zheng, Jicui Liu, Jiangbin Chen, Gong |
| description | Abstract Purpose The objective of this study is to introduce a modified Soave procedure for the treatment of vascular malformations involving the anorectum and sigmoid colon (VMARS) in children. Methods Cases of 12 children with VMARS between 2000 and 2008 were reviewed and analyzed. The confirmed diagnosis was established by barium enema, colonoscopy, computed tomography, and magnetic resonance imaging. All the patients underwent a modified Soave procedure. In 11 patients, Sarasola-Klose hemorrhoidectomy was used for the distal part of endorectal dissection. Results The mean length of resected bowel was 22.5 cm, ranging from 17 to 28 cm. Histologically, the surgical specimens showed that the lesions were venous malformation. Postoperative recovery was uneventful. The patients had good continence with no rectal bleeding, but intermittent fecal soiling was noted in one case. Conclusions VMARS forms a unique subset of patients with vascular malformations who have rectal bleeding. The combination of Soave procedure and Sarasola-Klose hemorrhoidectomy is a safe and effective procedure for VMARS. |
| doi_str_mv | 10.1016/j.jpedsurg.2009.07.065 |
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Methods Cases of 12 children with VMARS between 2000 and 2008 were reviewed and analyzed. The confirmed diagnosis was established by barium enema, colonoscopy, computed tomography, and magnetic resonance imaging. All the patients underwent a modified Soave procedure. In 11 patients, Sarasola-Klose hemorrhoidectomy was used for the distal part of endorectal dissection. Results The mean length of resected bowel was 22.5 cm, ranging from 17 to 28 cm. Histologically, the surgical specimens showed that the lesions were venous malformation. Postoperative recovery was uneventful. The patients had good continence with no rectal bleeding, but intermittent fecal soiling was noted in one case. Conclusions VMARS forms a unique subset of patients with vascular malformations who have rectal bleeding. The combination of Soave procedure and Sarasola-Klose hemorrhoidectomy is a safe and effective procedure for VMARS.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2009.07.065</identifier><identifier>PMID: 20006027</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anal Canal - blood supply ; Anal Canal - surgery ; Child, Preschool ; Colectomy ; Colon, Sigmoid - blood supply ; Colon, Sigmoid - surgery ; Digestive System Surgical Procedures - methods ; Enema - methods ; Female ; Gastrointestinal Hemorrhage - diagnosis ; Gastrointestinal Hemorrhage - prevention & control ; Hemorrhoids - surgery ; Hemostasis, Surgical - methods ; Humans ; Infant ; Intestinal Mucosa - blood supply ; Intestinal Mucosa - surgery ; Magnetic Resonance Imaging ; Male ; Pediatrics ; Rectum ; Rectum - blood supply ; Rectum - diagnostic imaging ; Rectum - surgery ; Sigmoid colon ; Surgery ; Surgical treatment ; Tomography, X-Ray Computed ; Treatment Outcome ; Vascular malformations ; Vascular Malformations - diagnostic imaging ; Vascular Malformations - surgery ; Veins - abnormalities ; Veins - surgery</subject><ispartof>Journal of pediatric surgery, 2009-12, Vol.44 (12), p.2359-2363</ispartof><rights>Elsevier Inc.</rights><rights>2009 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-1946dfe973dfbeec68cfdaeb690858c0ffd75738ea2376843831e5c1efdabe123</citedby><cites>FETCH-LOGICAL-c422t-1946dfe973dfbeec68cfdaeb690858c0ffd75738ea2376843831e5c1efdabe123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346809006435$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20006027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lv, Zhibao</creatorcontrib><creatorcontrib>Xiao, Xianmin</creatorcontrib><creatorcontrib>Zheng, Jicui</creatorcontrib><creatorcontrib>Liu, Jiangbin</creatorcontrib><creatorcontrib>Chen, Gong</creatorcontrib><title>Modified Soave procedure for the treatment of vascular malformations involving anorectum and sigmoid colon</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Abstract Purpose The objective of this study is to introduce a modified Soave procedure for the treatment of vascular malformations involving the anorectum and sigmoid colon (VMARS) in children. Methods Cases of 12 children with VMARS between 2000 and 2008 were reviewed and analyzed. The confirmed diagnosis was established by barium enema, colonoscopy, computed tomography, and magnetic resonance imaging. All the patients underwent a modified Soave procedure. In 11 patients, Sarasola-Klose hemorrhoidectomy was used for the distal part of endorectal dissection. Results The mean length of resected bowel was 22.5 cm, ranging from 17 to 28 cm. Histologically, the surgical specimens showed that the lesions were venous malformation. Postoperative recovery was uneventful. The patients had good continence with no rectal bleeding, but intermittent fecal soiling was noted in one case. Conclusions VMARS forms a unique subset of patients with vascular malformations who have rectal bleeding. The combination of Soave procedure and Sarasola-Klose hemorrhoidectomy is a safe and effective procedure for VMARS.</description><subject>Anal Canal - blood supply</subject><subject>Anal Canal - surgery</subject><subject>Child, Preschool</subject><subject>Colectomy</subject><subject>Colon, Sigmoid - blood supply</subject><subject>Colon, Sigmoid - surgery</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Enema - methods</subject><subject>Female</subject><subject>Gastrointestinal Hemorrhage - diagnosis</subject><subject>Gastrointestinal Hemorrhage - prevention & control</subject><subject>Hemorrhoids - surgery</subject><subject>Hemostasis, Surgical - methods</subject><subject>Humans</subject><subject>Infant</subject><subject>Intestinal Mucosa - blood supply</subject><subject>Intestinal Mucosa - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Rectum</subject><subject>Rectum - blood supply</subject><subject>Rectum - diagnostic imaging</subject><subject>Rectum - surgery</subject><subject>Sigmoid colon</subject><subject>Surgery</subject><subject>Surgical treatment</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Vascular malformations</subject><subject>Vascular Malformations - diagnostic imaging</subject><subject>Vascular Malformations - surgery</subject><subject>Veins - abnormalities</subject><subject>Veins - surgery</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu1DAQhi0EotvCK1S-cUoYx4mTXBCooqVSqx4KZ8trjxeHxF7sJFLfHkfbcuDCyZb1zT-ebwi5ZFAyYOLjUA5HNGmJh7IC6EtoSxDNK7JjDWdFA7x9TXYAVVXwWnRn5DylASA_A3tLznIJCKjaHRnug3HWoaGPQa1IjzFoNEtEakOk80-kc0Q1T-hnGixdVdLLqCKd1JiBSc0u-ESdX8O4On-gyoeIel6mfDM0ucMUnKE6jMG_I2-sGhO-fz4vyI_rr9-vvhV3Dze3V1_uCl1X1VywvhbGYt9yY_eIWnTaGoV70UPXdBqsNW3T8g5VxVvR1bzjDBvNMFN7ZBW_IB9OuXmW3wumWU4uaRxH5TEsSba8Zr3IcZkUJ1LHkFJEK4_RTSo-SQZy0ywH-aJZbpoltDJrzoWXzy2W_YTmb9mL1wx8PgGYB10dRpm0Q5_Vuk2PNMH9v8enfyL06LzTavyFT5iGsESfNUomUyVBPm7L3nYNff5DzRv-Bx0Eqeo</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Lv, Zhibao</creator><creator>Xiao, Xianmin</creator><creator>Zheng, Jicui</creator><creator>Liu, Jiangbin</creator><creator>Chen, Gong</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091201</creationdate><title>Modified Soave procedure for the treatment of vascular malformations involving anorectum and sigmoid colon</title><author>Lv, Zhibao ; Xiao, Xianmin ; Zheng, Jicui ; Liu, Jiangbin ; Chen, Gong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-1946dfe973dfbeec68cfdaeb690858c0ffd75738ea2376843831e5c1efdabe123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Anal Canal - blood supply</topic><topic>Anal Canal - surgery</topic><topic>Child, Preschool</topic><topic>Colectomy</topic><topic>Colon, Sigmoid - blood supply</topic><topic>Colon, Sigmoid - surgery</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Enema - methods</topic><topic>Female</topic><topic>Gastrointestinal Hemorrhage - diagnosis</topic><topic>Gastrointestinal Hemorrhage - prevention & control</topic><topic>Hemorrhoids - surgery</topic><topic>Hemostasis, Surgical - methods</topic><topic>Humans</topic><topic>Infant</topic><topic>Intestinal Mucosa - blood supply</topic><topic>Intestinal Mucosa - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Rectum</topic><topic>Rectum - blood supply</topic><topic>Rectum - diagnostic imaging</topic><topic>Rectum - surgery</topic><topic>Sigmoid colon</topic><topic>Surgery</topic><topic>Surgical treatment</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Vascular malformations</topic><topic>Vascular Malformations - diagnostic imaging</topic><topic>Vascular Malformations - surgery</topic><topic>Veins - abnormalities</topic><topic>Veins - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lv, Zhibao</creatorcontrib><creatorcontrib>Xiao, Xianmin</creatorcontrib><creatorcontrib>Zheng, Jicui</creatorcontrib><creatorcontrib>Liu, Jiangbin</creatorcontrib><creatorcontrib>Chen, Gong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lv, Zhibao</au><au>Xiao, Xianmin</au><au>Zheng, Jicui</au><au>Liu, Jiangbin</au><au>Chen, Gong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modified Soave procedure for the treatment of vascular malformations involving anorectum and sigmoid colon</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>44</volume><issue>12</issue><spage>2359</spage><epage>2363</epage><pages>2359-2363</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Abstract Purpose The objective of this study is to introduce a modified Soave procedure for the treatment of vascular malformations involving the anorectum and sigmoid colon (VMARS) in children. Methods Cases of 12 children with VMARS between 2000 and 2008 were reviewed and analyzed. The confirmed diagnosis was established by barium enema, colonoscopy, computed tomography, and magnetic resonance imaging. All the patients underwent a modified Soave procedure. In 11 patients, Sarasola-Klose hemorrhoidectomy was used for the distal part of endorectal dissection. Results The mean length of resected bowel was 22.5 cm, ranging from 17 to 28 cm. Histologically, the surgical specimens showed that the lesions were venous malformation. Postoperative recovery was uneventful. The patients had good continence with no rectal bleeding, but intermittent fecal soiling was noted in one case. Conclusions VMARS forms a unique subset of patients with vascular malformations who have rectal bleeding. The combination of Soave procedure and Sarasola-Klose hemorrhoidectomy is a safe and effective procedure for VMARS.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20006027</pmid><doi>10.1016/j.jpedsurg.2009.07.065</doi><tpages>5</tpages></addata></record> |
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| subjects | Anal Canal - blood supply Anal Canal - surgery Child, Preschool Colectomy Colon, Sigmoid - blood supply Colon, Sigmoid - surgery Digestive System Surgical Procedures - methods Enema - methods Female Gastrointestinal Hemorrhage - diagnosis Gastrointestinal Hemorrhage - prevention & control Hemorrhoids - surgery Hemostasis, Surgical - methods Humans Infant Intestinal Mucosa - blood supply Intestinal Mucosa - surgery Magnetic Resonance Imaging Male Pediatrics Rectum Rectum - blood supply Rectum - diagnostic imaging Rectum - surgery Sigmoid colon Surgery Surgical treatment Tomography, X-Ray Computed Treatment Outcome Vascular malformations Vascular Malformations - diagnostic imaging Vascular Malformations - surgery Veins - abnormalities Veins - surgery |
| title | Modified Soave procedure for the treatment of vascular malformations involving anorectum and sigmoid colon |
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