Meckel's diverticulum: Value of ectopic tissue

Artigas, Vicenç; Calabuig, R.; Badia, Francesc; Ríus, Xavier; Allende, Luis M.; Jover, Josep

doi:10.1016/0002-9610(86)90576-3

Cited by 54 publications

(34 citation statements)

References 8 publications

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“…The probability for a male person to carry an asymptomatic MD is more than double that of a female [12,14,15,17,20,[22][23][24][25][26], irrespective of age [26], although this difference was not confirmed in all studies [18,[27][28][29]. For symptomatic MD, the m:f ratio is even higher, 3:1 and more [2], [22][23][24]26].…”

Section: Resultsmentioning

confidence: 98%

The truth behind the "rule of twos" the Meckel diverticulum revised

2007

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Zusammenfassung. Grundlagen: Auch der Aufschwung laparoskopischer Techniken in der Abdominalchirurgie hat am grundsä tzlichen Problem nach der Diagnose und Therapie des Meckel-Divertikels (MD) nichts geä ndert.Methodik: Große Ü bersichtsarbeiten und Serien insbesondere aus den letzten zehn Jahren und mit besonderer Berü cksichtigung erwachsener Patienten wurden fü r die Analyse heran gezogen.Ergebnisse: Bei 1116 Resektionen von asymptomatischen MD betrug die Komplikationsrate 3,67% und die Letalitä t 0,18%; bei symptomatischer Divertikeln (502 Eingriffe) 9,56% und 1,99%. Der Unterschied ist statistisch signifikant. Aus dieser Tatsache und den aus der Literatur erhobenen Risikofaktoren leiten wir einen Algorithmus zum Verhalten bei asymptomatischem MD ab.Schlussfolgerungen: Aktuelle Studien zeigen, dass die Entfernung eines zufä llig aufgefundenen MD mit einer Komplikationsrate und Letalitä t erfolgen kann, die weit unter den fü r symptomatische Divertikeloperationen liegt. Wir empfehlen daher die Suche und Entfernung des MD in den meisten Fä llen, in denen der Eingriff chirurgisch vertretbar ist.Schlü sselwö rter: Meckel-Divertikel, Laparoskopie, Komplikationen, Kinderchirurgie, Bauchchirurgie.Summary. Background: The diagnosis and treatment of the Meckel diverticulum (MD) continue to fascinate abdominal surgeons. The ''disease of the twos'' must be reconsidered in the context of emerging laparoscopic techniques.Methods: A meta-analysis of recent large studies reporting MD especially in adults was undertaken.Results: The morbidity and mortality of 1116 incidental resections were 3.67 and 0.18%, respectively, while after surgery for 502 symptomatic diverticula, a morbidity of 9.56% and a mortality of 1.99% were found. The difference is highly significant. From recent data in the literature we have generated an algorithm for the approach towards the incidentally detected MD.Conclusions: Although the management of asymptomatic diverticula is still controversial, new data show that incidental diverticulectomy can be performed with morbidity and mortality rates far below the rates for symptomatic cases. This led us to recommend removal of the asymptomatic MD when surgically justifiable.

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Section: Resultsmentioning

confidence: 98%

The truth behind the "rule of twos" the Meckel diverticulum revised

2007

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“…Other pathologic conditions that may result in a false-negative scan include gastrointestinal bleeding unrelated to ectopic gastric mucosa (e.g., pancreatic mucosa) (28). A negative Meckel scan in a patient with significant recent gastrointestinal bleeding where no other etiology for bleeding is discovered over several weeks' time may warrant a repeated study-optimally using pretreatment with an H 2 blocker or proton pump inhibitor.…”

Section: Pitfallsmentioning

confidence: 99%

SNMMI and EANM Practice Guideline for Meckel Diverticulum Scintigraphy 2.0

Pfluger²,

et al. 2014

Journal of Nuclear Medicine Technology

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“…2 Although there was no ectopic tissue seen in the present study, the presence of ectopic tissue which is most commonly gastric or pancreatic in origin, can lead to highly acidic secretions causing ulcerations or hemorrhage. 4 They can also cause intestinal obstruction and umbilical fistulae.…”

Section: Discussionmentioning

confidence: 99%

Incidental finding of Meckel’s diverticulum in an umbilical hernia in a 60-year-old man

F¹,

Passeri²,

Ilano³

2012

OAS

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Meckel's diverticulum is an outpouching in the wall of the intestine. Although it is the most common congenital abnormality of the gastrointestinal tract, diagnosing and deciding on intervention is often a matter of debate when it presents asymptomatically. A 60-year-old man with an umbilical hernia presented to our institution for elective surgery. A Meckel's diverticulum was incidentally discovered perioperatively and removed. Although the mortality and risk of complications are low, the surgical team in this case decided to remove the diverticulum to prevent any possible complications from occurring in the future due to its presence.

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Meckel's diverticulum: Value of ectopic tissue

Cited by 54 publications

References 8 publications

The truth behind the "rule of twos" the Meckel diverticulum revised

The truth behind the "rule of twos" the Meckel diverticulum revised

SNMMI and EANM Practice Guideline for Meckel Diverticulum Scintigraphy 2.0

Incidental finding of Meckel’s diverticulum in an umbilical hernia in a 60-year-old man

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Meckel's diverticulum: Value of ectopic tissue

Cited by 54 publications

References 8 publications

The truth behind the "rule of twos" the Meckel diverticulum revised

The truth behind the "rule of twos" the Meckel diverticulum revised

SNMMI and EANM Practice Guideline for Meckel Diverticulum Scintigraphy 2.0

Incidental finding of Meckel&rsquo;s diverticulum in an umbilical hernia in a 60-year-old man

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Incidental finding of Meckel’s diverticulum in an umbilical hernia in a 60-year-old man