Laparoscopic management of complicated Meckel’s diverticulum in children: a 10-year review

Chan, Kin Wai; Lee, K. H.; Mou, Jennifer Wai Cheung; Cheung, Siu Tim; Tam, Yuk Him

doi:10.1007/s00464-008-9832-0

Cited by 86 publications

(56 citation statements)

References 12 publications

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“…Microscopic histopathology reveals ectopic gastric mucosa in 45-80% of surgical specimens [1,9]. However, there has been a lack of correlation between clinical manifestation and the presence of gastric mucosa in diverticulum in previous reports.…”

Section: Introductionmentioning

confidence: 98%

“…MD is one of the diagnostic challenges of gastrointestinal emergencies for pediatricians. Radiologic images are not sufficiently specific or sensitive for prompt diagnosis [1,9]. Radioisotope (Tc-99m scan) studies have been reported to have high sensitivity and specificity in the pediatric population [1,9,10].…”

Section: Introductionmentioning

confidence: 99%

“…MD has varied clinical manifestations, including intestinal bleeding, obstruction, and diverticulitis. Some cases present with serious lifethreatening complications such as shock, mechanical obstruction, and intestinal perforation [1,6,9]. For these varieties, prompt recognition of the correlation between clinical presentations of disease and usefully diagnostic tools is critical.…”

Section: Introductionmentioning

confidence: 99%

“…MD results from incomplete obliteration of the omphalomesenteric duct with an estimated incidence of 2 to 3% [1,9,11]. The majority of patients with MD are asymptomatic, however, symptomatic MD occurs more commonly in children than adults [9,11,13].…”

Section: Introductionmentioning

confidence: 99%

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Clinical and diagnostic relevance of Meckel’s diverticulum in children

Tseng

Yang

2009

Eur J Pediatr

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Meckel's diverticulum (MD) has varied clinical manifestations and is a diagnostic challenge for pediatricians. This study investigates the clinical and diagnostic characteristics of MD in children with different presentations. We retrospectively reviewed the medical records of pediatric patients diagnosed with MD from 1988 to 2008. The data including the age, sex, clinical features, laboratory data, sensitivity of diagnostic methods, and pathological finding were recorded. These patients were classified into three groups: diverticulitis, intestinal obstruction, and intestinal bleeding. A total of 47 children (35 boys and 12 girls) with a median age of 5.6 years were enrolled and categorized as follows: diverticulitis (n = 12), obstruction (n = 12), bleeding (n = 21), and two diagnosed incidentally. Patients with intestinal obstruction were significantly younger than those with bleeding (3.7, 95% CI, 1.6-5.7 vs. 6.6, 95% CI, 4.5-8.7, P = 0.04). In the obstruction group, intussusception was found in eight of 12 patients, of whom 62.5% were aged older than 3 years. Heterotopic tissues were found in 46.3% of surgical specimens and more frequently existed in patients with bleeding than those with diverticulitis (P = 0.02) and obstruction (P = 0.047). Tc-99m scans yielded a diagnostic sensitivity of about 65% in bleeding patients. Repeated Tc-99m scans and red blood cell (RBC) scans can be good supplementary tools in Tc-99m scan-negative bleeding patients. In conclusion, manifestations of childhood MD are variable and may depend on the presence of heterotopic tissues and the patients' age. Tc-99m scans supplemented with RBC scans are appropriate to diagnose childhood MD with bleeding.

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Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical and diagnostic relevance of Meckel’s diverticulum in children

Tseng

Yang

2009

Eur J Pediatr

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“…However, laparoscopic procedures were performed in 8 of these case reports ( Table 1 ). There are disadvantages to performing intracorporeal resection of Meckelʼs diverticulum, including leakage of the bowel contents during stapling and incomplete resection of the ectopic gastric mucosa 4,9) . It has been reported that laparoscopic-assisted transumblical extracorporeal resection of the diverticulum is a safe and appropriate procedure for treating Meckelʼs diverticulum 1,4,[9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic-Assisted Surgery for Small Bowel Obstruction Caused by a Mesodiverticular Band: Report of a Case

Lee

Sakata

Komekami

et al. 2014

JJCS

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There are 8 reported cases in which laparoscopic procedures were selected to treat small bowel obstruction caused by a mesodiverticular band. We herein report the case of a 9-year-old male who presented with intermittent abdominal pain around the umbilicus. He was diagnosed with small bowel obstruction associated with Meckelʼs diverticulum based on the CT findings. Laparoscopy was performed and a diagnosis of small bowel obstruction caused by a mesodiverticular band was made. Subsequently, we performed laparoscopic-assisted diverticulectomy and band resection. The patientʼs postoperative course was uneventful. Laparoscopicassisted surgery for small bowel obstruction caused by mesodiverticular bands has advantages over open procedures due to its ability to be use to make a diagnosis, reduced invasiveness and better cosmesis.

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Meckel’s Diverticulum Resection

Mattei

2009

Illustrative Handbook of General Surgery

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Laparoscopic management of complicated Meckel’s diverticulum in children: a 10-year review

Abstract: Diverse pediatric surgical conditions result from Meckel's diverticulum. Laparoscopy is a safe and effective method for the management of complicated Meckel's diverticulum.

Cited by 86 publications

References 12 publications

Clinical and diagnostic relevance of Meckel’s diverticulum in children

Clinical and diagnostic relevance of Meckel’s diverticulum in children

Laparoscopic-Assisted Surgery for Small Bowel Obstruction Caused by a Mesodiverticular Band: Report of a Case

Meckel’s Diverticulum Resection

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