Bleeding Meckel′s diverticulum diagnosed and treated by double-balloon enteroscopy

Ólafsson, Snorri; Yang, Julie; Jackson, Christian S.; Barakat, Mohamad; Lo, Simon K.

doi:10.4103/2231-0770.99166

Cited by 9 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Both Meckel's diverticulum and intestinal duplication commonly develop in the lower ileum (Meckel's diverticulum occurs on the anti‐mesenteric side, whereas intestinal duplication occurs on the mesenteric side), causing bleeding, bowel obstruction, and intussusception . Hereditary hemorrhagic telangiectasia (Rendu‐Osler‐Weber disease) is an autosomal dominant hereditary disease, which leads to recurrent epistaxis and arteriovenous malformation/arteriovenous fistula in the skin, oral mucosa, and parenchymatous organs (lung, liver, and brain), as well as telangiectasia (arteriovenous malformation) in the stomach and small and large intestines, which may be the source of gastrointestinal hemorrhage .…”

Section: Commentarymentioning

confidence: 99%

Clinical Practice Guideline for Enteroscopy

Yamamoto

Ogata

Matsumoto

et al. 2017

Digestive Endoscopy

134

158

View full text Add to dashboard Cite

Management of small bowel diseases has evolved since the advent of capsule endoscopy (CE) and balloon‐assisted enteroscopy (BAE). One of the most common indications for enteroscopy is obscure gastrointestinal bleeding (OGIB), followed by small bowel stenosis, tumors, and inflammatory bowel disease. Although enteroscopes have been regarded as useful tools, correct guidelines are required to ensure that we manipulate these enteroscopes safely and efficiently in clinical practice. Herein, the Japanese Gastroenterological Endoscopy Society has developed ‘Clinical Practice Guidelines for Enteroscopy’ in collaboration with the Japanese Society of Gastroenterology, the Japanese Gastroenterological Association, and the Japanese Association for Capsule Endoscopy. These guidelines are based on the evidence available until now, but small bowel endoscopy is a relatively new technology, so the guidelines include recommendations based on a consensus reached among experts when the evidence has not been considered sufficient. These guidelines were not designed to be disease‐based, but focus on how we should use small bowel CE and BAE in everyday clinical practice.

show abstract

Section: Commentarymentioning

confidence: 99%

Clinical Practice Guideline for Enteroscopy

Yamamoto

Ogata

Matsumoto

et al. 2017

Digestive Endoscopy

134

158

View full text Add to dashboard Cite

show abstract

“…The standard treatment for MD is surgical resection and intestinal anastomosis. To date, except for several case reports of unconventional DBE-based treatments for MD [3,4], the existing published reports have used DBE only as a diagnostic tool that was followed by laparoscopic treatment of the MD [5,6]. In the present study, we report the use of DBE to simultaneously diagnose bleeding MD and perform a minimally invasive standard surgical resection in children.…”

mentioning

confidence: 72%

Diagnosis and minimally invasive surgical treatment of bleeding Meckel's diverticulum in children using double-balloon enteroscopy

Huang

Wei

et al. 2015

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…DBE offers some advantages over other methods for allowing direct observation of the diverticular ostium, access to the entire small bowel, repeated examinations of the region and intraluminal therapy ( i.e . injection, coagulation)[ 12 , 13 ]. Finding another potential source of bleeding may aid in establishing the correct diagnosis, since MD may coexist with several other lesions.…”

Section: Discussionmentioning

confidence: 99%

Balloon-assisted enteroscopy for suspected Meckel’s diverticulum and indefinite diagnostic imaging workup

Gomes

Bonin

Noda

et al. 2016

WJGE

View full text Add to dashboard Cite

Meckel’s diverticulum (MD) is estimated to affect 1%-2% of the general population, and it represents a clinically silent finding of a congenital anomaly in up to 85% of the cases. In adults, MD may cause symptoms, such as overt occult lower gastrointestinal bleeding. The diagnostic imaging workup includes computed tomography scan, magnetic resonance imaging enterography, technetium 99m scintigraphy (99mTc) using either labeled red blood cells or pertechnetate (known as the Meckel’s scan) and angiography. The preoperative detection rate of MD in adults is low, and many patients ultimately undergo exploratory laparoscopy. More recently, however, endoscopic identification of MD has been possible with the use of balloon-assisted enteroscopy via direct luminal access, which also provides visualization of the diverticular ostium. The aim of this study was to review the diagnosis by double-balloon enteroscopy of 4 adults with symptomatic MD but who had negative diagnostic imaging workups. These cases indicate that balloon-assisted enteroscopy is a valuable diagnostic method and should be considered in adult patients who have suspected MD and indefinite findings on diagnostic imaging workup, including negative Meckel’s scan.

show abstract

Bleeding Meckel′s diverticulum diagnosed and treated by double-balloon enteroscopy

Cited by 9 publications

References 8 publications

Clinical Practice Guideline for Enteroscopy

Clinical Practice Guideline for Enteroscopy

Diagnosis and minimally invasive surgical treatment of bleeding Meckel's diverticulum in children using double-balloon enteroscopy

Balloon-assisted enteroscopy for suspected Meckel’s diverticulum and indefinite diagnostic imaging workup

Contact Info

Product

Resources

About