Modified Soave procedure for the treatment of vascular malformations involving anorectum and sigmoid colon

Lv, Zhibao; Xiao, Xianmin; Zheng, Jicui; Liu, Jiangbin; Chen, Gong

doi:10.1016/j.jpedsurg.2009.07.065

Cited by 8 publications

(19 citation statements)

References 9 publications

(15 reference statements)

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“…The classi cation and terminology of hemangioma and vascular malformation mentioned in the literature are not entirely clear, and mainly include cavernous hemangioma, angiodysplasia, arteriovenous malformation(AMV), venous malformation, and venous dilatation(9, 10). At present, CRVM is primarily reported to be a venous malformation (formerly called 'cavernous hemangioma'), and arteriovenous malformations are rare (6,5,10).Previous studies have reported that CRVM affects more adult females than adult males (11), but more male children than female children(12). In our study, the results showed the morbidity of CRVM in male children was 69.6%(16/23), which is consistent with previous reports.…”

Section: Discussionmentioning

confidence: 99%

“…Chronic, recurrent, painless rectal bleeding is the most common symptom of CRVM. Occasionally, massive and life-threatening bleeding may occur (1,6). Most patients often have a long-term and history of repeated blood transfusions throughout the course of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the particularity of the anatomical structure of children, the adult procedure cannot be used entirely for reference. Previously, we used a modi ed transabdominal Soave procedure combined with Sarasola-Klose internal hemorrhoidectomy to treat CRVM, and achieved satisfactory results (6). In this procedure, the laparotomy or laparoscopy was used to explore the extent of intestinal, mesenteric, and pelvic vascular malformations.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment and Follow-up A total of 21 patients underwent a modi ed Soave procedure to remove the diseased intestinal segment; Sarasola-Klose hemorrhoidectomy was used for the distal portion of the endorectal dissection (6). Three of these patients underwent a laparoscopy-assisted Soave procedure.…”

Section: Imaging Studiesmentioning

confidence: 99%

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An Investigation of Clinical Features and Exploration of Comprehensive Treatments for Colorectal Vascular Malformation in Children

Huang

Xiao

et al. 2021

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Objectives: To summarize the clinical features, treatment methods, and outcomes of the rare diseases of colorectal vascular malformation (CRVM).Methods: We retrospectively analyzed clinical data of CRVM patients admitted to the Department of Pediatric Surgery of Children's Hospital of Fudan University from 2004 to 2019.Results: A total of 23 cases (16 males, 7 females) were enrolled. The median age of symptom onset was 1.4 years. Eleven patients had been misdiagnosed, and the average time from symptom onset to diagnosis was 4.5±4.4 years. Associated vascular malformations in the skin and other parts were found in eight patients. All patients showed a positive anomalous vascular image in the rectum and surrounding areas with contrast-enhanced computed tomography (CT) / magnetic resonance imaging (MRI). The sensitivity of endoscopy in the diagnosis of CRVM was 82.6%. A total of 21 patients underwent a modified Soave procedure. The lesions were mostly restricted to the rectum and sigmoid, with an average length of 20±5.4cm. The median follow-up time was 78 months. Bloody stools reappeared within 6 months in three patients, but were cured by sclerotherapy or fulguration. At the last time of follow-up, bloody stool symptoms were absent and hemoglobin was in the normal range for all patients.Conclusions: CRVM occurs more commonly in male children than in female children. Combined with enhanced MRI, CT, and colonoscopy, CRVM diagnosis can be confirmed. The lesioned intestinal segment can be safely removed through a modified transabdominal Soave procedure, effectively curing or relieving hematochezia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Imaging Studiesmentioning

confidence: 99%

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An Investigation of Clinical Features and Exploration of Comprehensive Treatments for Colorectal Vascular Malformation in Children

Huang

Xiao

et al. 2021

Preprint

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“…This soon fell out of favor for sphincter-preserving resections, now the procedures of choice. Colonic pull-through procedures have been performed with some success, like the Soave procedure [ 140 , 149 ], and a modifi ed Soave procedure [ 150 ]. Small polypoid cavernous malformations usually are limited to the submucosa and have been safely removed with endoscopic cautery snare polypectomy [ 151 ].…”

Section: Treatment and Prognosismentioning

confidence: 99%