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Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
Peer-reviewed Journal Articles, etc >
Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding
| Title: | Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding |
| Authors: | Ono, Hitoshi Browse this author | | Honda, Shohei Browse this author →KAKEN DB | | Miyagi, Hisayuki Browse this author | | Minato, Masashi Browse this author | | Ara, Momoko Browse this author | | Kondo, Takafumi Browse this author | | Okumura, Kazuyoshi Browse this author | | Okada, Tadao Browse this author | | Taketomi, Akinobu Browse this author →KAKEN DB |
| Keywords: | Abscess formation | | Bleeding | | Management | | Protein-losing gastroenteropathy | | Severe symptomatic abdominal lymphatic malformation |
| Issue Date: | 16-Dec-2022 |
| Publisher: | Springer |
| Journal Title: | Annals of Pediatric Surgery |
| Volume: | 18 |
| Issue: | 1 |
| Start Page: | 92 |
| Publisher DOI: | 10.1186/s43159-022-00230-y |
| Abstract: | Background: The optimal strategy for the management of patients with severe symptomatic abdominal lymphatic malformation (ALM) complicated by abscess formation, protein-losing gastroenteropathy, and bleeding has not yet been established. The present study aimed to determine an appropriate management for patients with severe symptomatic ALM, particularly for those with abdominal complications. Materials and methods: Eight infants and young adults who underwent emergency surgery for ALM in our department, between the years 1997 and 2020, were selected for the study. We also evaluated and compared the operative procedures, operative timing, and postoperative surgical outcomes. Results: Emergency resection was performed in all patients with bleeding. Some patients presented with ALMs that invaded the adjacent organs. Resections that included the involved organs were necessary to achieve full resolution in three patients. After evaluating the diagnostic modalities for symptomatic ALM, we also performed elective surgery for patients without bleeding. Conclusions: Clinicians should be aware of severe symptomatic ALM with or without bleeding, as well as its associated complications, in order to select the best surgical management plan. |
| Type: | article |
| URI: | http://hdl.handle.net/2115/88007 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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