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Coil-Localized Laparoscopic-Assisted Resection of Symptomatic Gastrointestinal Vascular Malformations in Children and Young Adults

Gastrointestinal (GI) bleeding from pediatric vascular malformation is uncommon and difficult to diagnose and manage. The preferred treatment is surgical resection; however, it can be challenging to precisely localize the lesion, particularly if it is not serosal. OBJECTIVES: To describe a technique...

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Autores principales: Worede, Fikadu, Blinman, Thane A., Bhatti, Tricia R., Mamula, Petar, Sahn, Benjamin, Srinivasan, Abhay, Cahill, Anne Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins, Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191564/
https://www.ncbi.nlm.nih.gov/pubmed/37206462
http://dx.doi.org/10.1097/PG9.0000000000000115
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author Worede, Fikadu
Blinman, Thane A.
Bhatti, Tricia R.
Mamula, Petar
Sahn, Benjamin
Srinivasan, Abhay
Cahill, Anne Marie
author_facet Worede, Fikadu
Blinman, Thane A.
Bhatti, Tricia R.
Mamula, Petar
Sahn, Benjamin
Srinivasan, Abhay
Cahill, Anne Marie
author_sort Worede, Fikadu
collection PubMed
description Gastrointestinal (GI) bleeding from pediatric vascular malformation is uncommon and difficult to diagnose and manage. The preferred treatment is surgical resection; however, it can be challenging to precisely localize the lesion, particularly if it is not serosal. OBJECTIVES: To describe a technique of intentional preoperative coil localization of symptomatic pediatric GI vascular malformations by pediatric interventional radiology to facilitate fluoroscopically assisted laparoscopic resection. METHODS: We searched the electronic privacy information center and picture archive and communication system in our center and found 3 cases. The electronic privacy information center and picture archive and communication system databases were the sources for retrieval of demographic, medical, radiological, and procedural information in all 3 cases. RESULTS: After many nondiagnostic investigations in all 3 patients, a GI vascular malformation as a cause of GI bleeding was diagnosed with computed tomography angiography/magnetic resonance angiography and catheter angiography. A preoperative 0.018-inch Hilal coil was placed as close as possible to the vascular malformation during super selective angiography. Laparoscopic surgery was performed within 24 hours of coil placement. In all cases, histology confirmed the resected bowel lesions to be vascular malformations. CONCLUSIONS: Intentional endovascular coil localization has the potential to increase the precision of lesion localization and may reduce laparoscopic operative time, when guided by the coil position.
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spelling pubmed-101915642023-05-18 Coil-Localized Laparoscopic-Assisted Resection of Symptomatic Gastrointestinal Vascular Malformations in Children and Young Adults Worede, Fikadu Blinman, Thane A. Bhatti, Tricia R. Mamula, Petar Sahn, Benjamin Srinivasan, Abhay Cahill, Anne Marie JPGN Rep Original Article Gastrointestinal (GI) bleeding from pediatric vascular malformation is uncommon and difficult to diagnose and manage. The preferred treatment is surgical resection; however, it can be challenging to precisely localize the lesion, particularly if it is not serosal. OBJECTIVES: To describe a technique of intentional preoperative coil localization of symptomatic pediatric GI vascular malformations by pediatric interventional radiology to facilitate fluoroscopically assisted laparoscopic resection. METHODS: We searched the electronic privacy information center and picture archive and communication system in our center and found 3 cases. The electronic privacy information center and picture archive and communication system databases were the sources for retrieval of demographic, medical, radiological, and procedural information in all 3 cases. RESULTS: After many nondiagnostic investigations in all 3 patients, a GI vascular malformation as a cause of GI bleeding was diagnosed with computed tomography angiography/magnetic resonance angiography and catheter angiography. A preoperative 0.018-inch Hilal coil was placed as close as possible to the vascular malformation during super selective angiography. Laparoscopic surgery was performed within 24 hours of coil placement. In all cases, histology confirmed the resected bowel lesions to be vascular malformations. CONCLUSIONS: Intentional endovascular coil localization has the potential to increase the precision of lesion localization and may reduce laparoscopic operative time, when guided by the coil position. Lippincott Williams & Wilkins, Inc. 2021-08-26 /pmc/articles/PMC10191564/ /pubmed/37206462 http://dx.doi.org/10.1097/PG9.0000000000000115 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer on behalf of European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Article
Worede, Fikadu
Blinman, Thane A.
Bhatti, Tricia R.
Mamula, Petar
Sahn, Benjamin
Srinivasan, Abhay
Cahill, Anne Marie
Coil-Localized Laparoscopic-Assisted Resection of Symptomatic Gastrointestinal Vascular Malformations in Children and Young Adults
title Coil-Localized Laparoscopic-Assisted Resection of Symptomatic Gastrointestinal Vascular Malformations in Children and Young Adults
title_full Coil-Localized Laparoscopic-Assisted Resection of Symptomatic Gastrointestinal Vascular Malformations in Children and Young Adults
title_fullStr Coil-Localized Laparoscopic-Assisted Resection of Symptomatic Gastrointestinal Vascular Malformations in Children and Young Adults
title_full_unstemmed Coil-Localized Laparoscopic-Assisted Resection of Symptomatic Gastrointestinal Vascular Malformations in Children and Young Adults
title_short Coil-Localized Laparoscopic-Assisted Resection of Symptomatic Gastrointestinal Vascular Malformations in Children and Young Adults
title_sort coil-localized laparoscopic-assisted resection of symptomatic gastrointestinal vascular malformations in children and young adults
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191564/
https://www.ncbi.nlm.nih.gov/pubmed/37206462
http://dx.doi.org/10.1097/PG9.0000000000000115
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