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Laparoscopic Resection of Osler-Weber-Rendu Lesion

BACKGROUND AND OBJECTIVES: Osler-Weber-Rendu is a hereditary disease characterized by telangiectasias, arteriovenous malformations, and aneurysms involving the cutaneous, gastrointestinal, pulmonary, and central nervous systems. This report describes a combinatorial approach using laparoscopic and i...

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Autores principales: Park, John, Ellis, Bryan, Juergens, Christopher
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016177/
https://www.ncbi.nlm.nih.gov/pubmed/18435894
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author Park, John
Ellis, Bryan
Juergens, Christopher
author_facet Park, John
Ellis, Bryan
Juergens, Christopher
author_sort Park, John
collection PubMed
description BACKGROUND AND OBJECTIVES: Osler-Weber-Rendu is a hereditary disease characterized by telangiectasias, arteriovenous malformations, and aneurysms involving the cutaneous, gastrointestinal, pulmonary, and central nervous systems. This report describes a combinatorial approach using laparoscopic and intraoperative endoscopy to perform a partial gastric resection of bleeding arteriovenous malformations. METHODS: A 70-year-old female with a history of bleeding from Osler-Weber-Rendu disease presented to the emergency department complaining of hematemesis. Her vital signs were unstable, and she was immediately resuscitated with intravenous fluids and transfusions. A combined laparoscopic and intraoperative endoscopic approach to a partial gastric resection was planned. Intraoperatively, a single lesion was identified along the posterior aspect of the greater curvature of the stomach by using endoscopy. The blood supply was taken down with a Ligasure and gastric resection with a 60-mm Echelon stapler. RESULTS: The pathology report confirmed the complete resection of the arteriovenous malformations. The patient recovered well and was discharged home several days later without any pain complaints. CONCLUSIONS: Little has been written about the medical treatment of Osler-Weber-Rendu arteriovenous malformations, let alone surgical treatment. A combinatorial laparoscopic and intraoperative endoscopic approach to gastric resection allows both minimization of the gastric resection and the complete identification and removal of the arteriovenous malformations.
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spelling pubmed-30161772011-02-17 Laparoscopic Resection of Osler-Weber-Rendu Lesion Park, John Ellis, Bryan Juergens, Christopher JSLS Case Reports BACKGROUND AND OBJECTIVES: Osler-Weber-Rendu is a hereditary disease characterized by telangiectasias, arteriovenous malformations, and aneurysms involving the cutaneous, gastrointestinal, pulmonary, and central nervous systems. This report describes a combinatorial approach using laparoscopic and intraoperative endoscopy to perform a partial gastric resection of bleeding arteriovenous malformations. METHODS: A 70-year-old female with a history of bleeding from Osler-Weber-Rendu disease presented to the emergency department complaining of hematemesis. Her vital signs were unstable, and she was immediately resuscitated with intravenous fluids and transfusions. A combined laparoscopic and intraoperative endoscopic approach to a partial gastric resection was planned. Intraoperatively, a single lesion was identified along the posterior aspect of the greater curvature of the stomach by using endoscopy. The blood supply was taken down with a Ligasure and gastric resection with a 60-mm Echelon stapler. RESULTS: The pathology report confirmed the complete resection of the arteriovenous malformations. The patient recovered well and was discharged home several days later without any pain complaints. CONCLUSIONS: Little has been written about the medical treatment of Osler-Weber-Rendu arteriovenous malformations, let alone surgical treatment. A combinatorial laparoscopic and intraoperative endoscopic approach to gastric resection allows both minimization of the gastric resection and the complete identification and removal of the arteriovenous malformations. Society of Laparoendoscopic Surgeons 2008 /pmc/articles/PMC3016177/ /pubmed/18435894 Text en © 2008 by JSLS, Journal of the Society of Laparoendoscopic Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Park, John
Ellis, Bryan
Juergens, Christopher
Laparoscopic Resection of Osler-Weber-Rendu Lesion
title Laparoscopic Resection of Osler-Weber-Rendu Lesion
title_full Laparoscopic Resection of Osler-Weber-Rendu Lesion
title_fullStr Laparoscopic Resection of Osler-Weber-Rendu Lesion
title_full_unstemmed Laparoscopic Resection of Osler-Weber-Rendu Lesion
title_short Laparoscopic Resection of Osler-Weber-Rendu Lesion
title_sort laparoscopic resection of osler-weber-rendu lesion
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016177/
https://www.ncbi.nlm.nih.gov/pubmed/18435894
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