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

Qi, Shiqin; Huang, He; Wei, Decheng; Lv, Cheng-chao; Yang, Yong

doi:10.1016/j.jpedsurg.2015.05.002

Cited by 10 publications

(4 citation statements)

References 13 publications

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“…There have been one case report and 2 case series reports of MD detected by DBE in Chinese children [ 13 – 15 ]. In addition, Fukushima et al had reported 2 children with MD detected by DBE in Japan [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Bleeding Meckel’s Diverticulum in Children: The Diagnostic Value of Double-Balloon Enteroscopy

Geng

Chen

et al. 2017

Gastroenterology Research and Practice

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Background. Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. The purpose of this study was to evaluate the diagnostic value and safety of double-balloon enteroscopy (DBE) for bleeding MD in children. Methods. We included consecutive children who were highly suspected of MD between 2012 and 2013. All patients underwent Meckel's scan. DBE was performed for patient with negative Meckel's scan. An exploratory laparoscopy was performed in children with positive Meckel's scan or DBE. Results. 42 patients met the inclusion criteria. 40 patients were confirmed to have MD by exploratory laparoscopy. Meckel's scan was positive in 36 and negative in 6, with 34 as true positives and 2 as false positives. Six patients with negative Meckel's scan were found to have MD by retrograde DBE and had immediate operation. The distance from the diverticulum to the ileocecal valve was 40 to 60 cm. Ectopic gastric mucosa was present in all 6 patients (100%). After operation, patients were followed in clinic for 20 to 42 months and no evidence of GI bleeding or recurrent anemia was observed. Conclusions. Double-balloon enteroscopy can be a reliable diagnostic tool for bleeding Meckel's diverticulum in children with negative Meckel's scan.

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Section: Discussionmentioning

confidence: 99%

Bleeding Meckel’s Diverticulum in Children: The Diagnostic Value of Double-Balloon Enteroscopy

Geng

Chen

et al. 2017

Gastroenterology Research and Practice

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“…Recently, transanal DBE (TADBE) has proved useful for accurate preoperative diagnosis of MD. 2 It has a high diagnostic rate for small bowel disease and can be performed safely even in young children. 3 Therefore, TADBE could be considered the most feasible diagnostic tool for bleeding MD.…”

Section: Diagnosis Of Meckel Diverticulum On Endoscopic Retrograde Ilmentioning

confidence: 99%

Diagnosis of Meckel diverticulum on endoscopic retrograde ileography in a child

Sato

Tagawa

Wada

et al. 2018

Pediatrics International

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“…Meckel’s diverticulum was also found to be a risk factor for ileo-ileal intussusception in children and adults due to occasional inversion [ 2 , 3 ]. On the other hand, in recent years, a few reports have demonstrated the efficacy of double-balloon endoscopy (DBE) for the diagnosis of hemorrhage in pediatric Meckel’s diverticulum [ 4 , 5 ]. Although transanal DBE was considered suitable for children over 3 years of age and weighing at least 14 kg [ 6 ], no reports of an inverted Meckel’s diverticulum identified by DBE prior to surgery without gastrointestinal bleeding have been identified to date.…”

Section: Introductionmentioning

confidence: 99%

A Pediatric Case of Inverted Meckel’s Diverticulum Presenting with Cyclic Vomiting-like Symptoms: A Case Report and Literature Review

et al. 2022

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Asymptomatic Meckel’s diverticulum cases are not uncommon, leading to diagnostic difficulties in cases of atypical presentations with only gastrointestinal symptoms other than bloody stool. A nine-year-old boy diagnosed as having cyclic vomiting because of recurrent abdominal pain and vomiting for 6 months was referred to our institute and hospitalized due to worsening symptoms. After admission, abdominal ultrasonography showed the multiple concentric ring sign and a pseudokidney sign at the lower ileum, leading to the diagnosis of ileo-ileal intussusception, but the gastrointestinal symptoms and ultrasonic findings disappeared spontaneously. Transanal, double-balloon, intestinal endoscopy demonstrated a pedunculated polyp-like structure, and surgical resection was performed. An inverted diverticulum was found in the resected intestinal lumen, and ectopic gastric mucosa was identified histologically, leading to the diagnosis of inverted Meckel’s diverticulum. In pediatric cases involving periodic attacks of vomiting and abdominal pain, unnecessary emergent surgery could be avoided by cautious imaging evaluation and consideration of ileo-ileal intussusception with advanced lesions of an inverted Meckel’s diverticulum as a differential diagnosis, without facilely diagnosing cyclic vomiting. In addition, previous reports of inverted Meckel’s diverticulum were reviewed, and the results were compared between adult and pediatric groups in each category.

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

Cited by 10 publications

References 13 publications

Bleeding Meckel’s Diverticulum in Children: The Diagnostic Value of Double-Balloon Enteroscopy

Bleeding Meckel’s Diverticulum in Children: The Diagnostic Value of Double-Balloon Enteroscopy

Diagnosis of Meckel diverticulum on endoscopic retrograde ileography in a child

A Pediatric Case of Inverted Meckel’s Diverticulum Presenting with Cyclic Vomiting-like Symptoms: A Case Report and Literature Review

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