Document Detail


Treatment of colonic bleeding in Klippel-Trenaunay syndrome with combined partial colectomy and endoscopic laser.
MedLine Citation:
PMID:  8391975     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Klippel-Trenaunay syndrome can be associated with significant lower gastrointestinal bleeding from diffuse cavernous hemangiomata of the colon. Distal colectomy is curative but the formation of a colostomy is undesirable in patients who already have a poor self-image due to the other manifestations of Klippel-Trenaunay syndrome such as multiple cutaneous hemangiomata, severe varicose veins, and prominent limb hypertrophy. Endoscopic laser ablation alone is often not feasible in these patients because of the extensive and often circumferential nature of the colonic hemangiomata. This report describes successful treatment of gastrointestinal hemorrhage due to colonic hemangiomata by a novel combination of partial colonic resection and endoscopic laser therapy. Case 1 demonstrates that endoscopic laser ablation of the diseased colonic mucosa, while not feasible with the extensive involvement of the left colon, was very effective when combined with partial colectomy at curing the bleeding while maintaining anal sphincter function. In case 2 the disease was more limited and more easily amenable to endoscopic laser ablation. Combined surgical and laser endoscopic therapy is recommended in treating the colonic hemangiomata associated with Klippel-Trenaunay syndrome.
Authors:
B M Myers
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  38     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1993 Jul 
Date Detail:
Created Date:  1993-08-12     Completed Date:  1993-08-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1351-3     Citation Subset:  AIM; IM    
Affiliation:
Division of Gastroenterology, Hepatology, and Nutrition, University of Florida School of Medicine, Gainesville 32610.
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MeSH Terms
Descriptor/Qualifier:
Adult
Child
Colectomy / methods*
Colonic Diseases / etiology,  surgery*
Female
Gastrointestinal Hemorrhage / etiology,  surgery*
Humans
Klippel-Trenaunay-Weber Syndrome / complications,  surgery*
Laser Therapy / methods*
Male
Sigmoidoscopy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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