Coloanal sleeve anastomosis in the treatment of diffuse cavernous haemangioma of the rectum: long-term results.
Diffuse cavernous haemangioma of the rectum is an unusual lesion. In 1971 Parks and co-workers described resection and coloanal sleeve anastomosis as an alternative operation in the treatment of this rare malformation. The clinical presentation, diagnosis and long-term results of patients with this condition managed by such a surgical technique are described. Resection and coloanal sleeve anastomosis offers major advantages such as a lower risk of intraoperative bleeding, no risk of damaging the pelvic nerves, sparing of continence and avoidance of a permanent colostomy. It should therefore be considered the treatment of choice for this uncommon condition.
St Mark's Hospital, London, UK.
E E
EE
Londono-Schimmer
J K
JK
Ritchie
P R
PR
Hawley
D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D016063:Blood Loss, Surgical; D005260:Female; D005500:Follow-Up Studies; D006392:Hemangioma, Cavernous / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012307:Risk Factors; D016896:Treatment Outcome