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European Journal of Gastroenterology &... Mar 2022
Topics: Enteritis; Eosinophilia; Gastritis; Humans; Meckel Diverticulum; Stomach Diseases
PubMed: 35100177
DOI: 10.1097/MEG.0000000000002196 -
The British Journal of Surgery Jul 1981
Review
Topics: Adult; Child, Preschool; Diagnosis, Differential; Female; Humans; Infant; Male; Meckel Diverticulum; Methods
PubMed: 7018640
DOI: 10.1002/bjs.1800680712 -
Annals of Surgery Feb 2008Management of incidentally detected Meckel diverticulum (MD) remains controversial. Our aims were to establish: (1) the prevalence of MD; (2) the morbidity and (3)... (Review)
Review
BACKGROUND
Management of incidentally detected Meckel diverticulum (MD) remains controversial. Our aims were to establish: (1) the prevalence of MD; (2) the morbidity and (3) mortality due to MD.
METHODS
Systematic review: A total of 244 papers meeting defined criteria were included; there were no prospective or randomized studies. MD prevalence and mortality from autopsy studies, postoperative complications, and outcome of incidentally detected MD were extracted. Population-based data: Data were obtained from national databases on MD as cause of death, and on number of MD resections per year.
RESULTS
The prevalence of MD is 1.2% and historical mortality of MD was 0.01%. The current mortality from MD is 0.001%. The number of MD resections per year per 100,000 population decreased significantly after the pediatric age range (P < 0.001). Resection of incidentally detected MD has a significantly higher postoperative complication rate than leaving it in situ (P < 0.0001). The long-term outcome of patients with incidentally detected MD left in situ showed no complications. Seven-hundred fifty-eight patients would require incidentally detected MD resection to prevent 1 death from MD.
CONCLUSIONS
MD is present in 1.2% of the population, it is a very rare cause of mortality, and it is primarily a disease of the young. Leaving an incidentally detected MD in situ reduces the risk of postoperative complications without increasing late complications. A large number of MD resections would need to be performed to prevent 1 death from MD. The above evidence does not support the resection of incidentally detected MD.
Topics: Decision Making; Diagnosis, Differential; England; Humans; Laparotomy; Meckel Diverticulum; Morbidity; Survival Rate
PubMed: 18216533
DOI: 10.1097/SLA.0b013e31815aaaf8 -
Deutsches Arzteblatt International Apr 2023
Topics: Humans; Meckel Diverticulum; Intestinal Obstruction
PubMed: 37357704
DOI: 10.3238/arztebl.m2022.0390 -
ANZ Journal of Surgery Nov 2022
Topics: Humans; Meckel Diverticulum; Crohn Disease; Ileal Diseases; Ileum
PubMed: 35191577
DOI: 10.1111/ans.17572 -
Gastrointestinal bleeding in infants and children: Meckel's diverticulum and intestinal duplication.Seminars in Pediatric Surgery Nov 1999Gastrointestinal bleeding in infants and children can be quite alarming and anxiety-provoking for parents and caregivers alike. In most cases the cause is benign, and... (Review)
Review
Gastrointestinal bleeding in infants and children can be quite alarming and anxiety-provoking for parents and caregivers alike. In most cases the cause is benign, and the course self-limited. However, in the patient with significant bleeding, an aggressive diagnostic approach is warranted. The differential diagnosis can be extensive and varies depending on the age of the patient. Meckel's diverticula and intestinal duplications may cause gastrointestinal bleeding in almost any age group and require a high index of suspicion for diagnosis. Bleeding usually is painless but may be massive. The advent of technetium (Tc) 99m pertechnetate radionuclide scanning has greatly facilitated the diagnosis of Meckel's diverticula and may also be useful for intestinal duplications. A positive scan requires the presence of ectopic gastric mucosa, which may be identified in both Meckel's diverticula and intestinal duplications. The significance of ectopic gastric mucosa is that it contains acid-secreting parietal cells, which may cause ulceration and bleeding. Only rarely are intestinal duplications diagnosed preoperatively. After initial fluid resuscitation, bleeding from Meckel's diverticula and intestinal duplications require surgical intervention. Resection is the treatment of choice. Diverticulectomy or segmental bowel resection including the diverticulum should be performed for bleeding Meckel's diverticula. It is important to remove the ectopic mucosa and site of ulceration to prevent rebleeding episodes. Intestinal duplications share a common wall and blood supply with native bowel. Segmental resection is indicated if it can be performed without sacrificing a significant portion of bowel. A recent advance has been laparoscopic-assisted resection of Meckel's diverticula and intestinal duplication cysts. With the aid of the laparoscope, extracorporeal or intracorporeal resection may be performed.
Topics: Child; Child, Preschool; Gastrointestinal Hemorrhage; Humans; Infant; Intestines; Meckel Diverticulum
PubMed: 10573430
DOI: 10.1016/s1055-8586(99)70027-2 -
From the archives of the AFIP. Meckel diverticulum: radiologic features with pathologic Correlation.Radiographics : a Review Publication of... 2004Meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in 2%-3% of the population. It results from improper closure and... (Review)
Review
Meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in 2%-3% of the population. It results from improper closure and absorption of the omphalomesenteric duct. Meckel diverticulum is the most common end result of the spectrum of omphalomesenteric duct anomalies, which also include umbilicoileal fistula, umbilical sinus, umbilical cyst, and a fibrous cord connecting the ileum to the umbilicus. The formation of Meckel diverticulum occurs with equal frequency in both sexes, but symptoms from complications are more common in male patients. Sixty percent of patients come to medical attention before 10 years of age, with the remainder of cases manifesting in adolescence and adulthood. Heterotopic gastric and pancreatic mucosa are frequently found histologically within the diverticula of symptomatic patients. The most common complications are hemorrhage from peptic ulceration, small intestinal obstruction, and diverticulitis. Although the clinical, pathologic, and radiologic features of the complications of Meckel diverticulum are well known, the diagnosis of Meckel diverticulum is difficult to establish preoperatively.
Topics: Adolescent; Adult; Aged; Child; Choristoma; Diverticulitis; Female; Gastric Mucosa; Gastrointestinal Hemorrhage; Hernia; Humans; Intestinal Obstruction; Male; Meckel Diverticulum; Middle Aged; Pancreas; Radiography; Radionuclide Imaging
PubMed: 15026601
DOI: 10.1148/rg.242035187 -
Journal of the American College of... Apr 2005
Topics: Adult; Diagnosis, Differential; Gastrointestinal Hemorrhage; Humans; Male; Meckel Diverticulum
PubMed: 15804479
DOI: 10.1016/j.jamcollsurg.2004.07.038 -
Journal of Postgraduate Medicine 1992Twenty one surgically documented cases of Meckel's diverticulum in children treated at Kasturba Hospital, Manipal since 1981 are reviewed. Of them, 14 presented with...
Twenty one surgically documented cases of Meckel's diverticulum in children treated at Kasturba Hospital, Manipal since 1981 are reviewed. Of them, 14 presented with intestinal obstruction, 2 with pain abdomen, 2 with Littre's hernia and 2 were found incidentally. Only one patient presented with gastrointestinal bleeding. The clinical profile of these patients is analyzed.
Topics: Child; Child, Preschool; Cross-Sectional Studies; Developing Countries; Female; Humans; Incidence; India; Infant; Infant, Newborn; Male; Meckel Diverticulum
PubMed: 1512719
DOI: No ID Found -
Ugeskrift For Laeger Apr 2024Meckel's diverticulum is the most common congenital gastrointestinal defect with a prevalence of 2%. It is mostly asymptomatic and it rarely causes acute abdomen in...
Meckel's diverticulum is the most common congenital gastrointestinal defect with a prevalence of 2%. It is mostly asymptomatic and it rarely causes acute abdomen in adults. In this case report, a 28-year-old male with no previous abdominal surgery presented with clinical symptoms of small bowel obstruction. Surgery revealed a Meckel's diverticulum adherent to the abdominal wall, causing internal herniation with small bowel obstruction. The diverticulum was openly resected and no post-operative complications occurred. Laparoscopy seems safe, and surgical removal of the symptomatic Meckel's diverticulum is recommended.
Topics: Humans; Meckel Diverticulum; Adult; Male; Ileus; Tomography, X-Ray Computed; Intestinal Obstruction
PubMed: 38704710
DOI: 10.61409/V10230632