Endoscopic Observation of the Meckel's Diverticulum by Double-Balloon Endoscopy: Report of the Five Cases

Shinozaki, Satoshi; Yamamoto, Hironori; Kita, Hiroto; Sunada, Keijiro; Satō, Hiroyuki; Hayashi, Yoshikazu; Iwamoto, Michiko; Ajibe, Hironari; Yano, Tomonori; Miyata, Tomohiko; Kuno, Akiko; Hachimori, Hisashi; Ito, Katsunori; Takamatsu, Tohru; Ido, Kenichi; Sugano, Kentaro

doi:10.1016/s0016-5107(05)01003-5

Cited by 4 publications

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“…None of our patients with painless hematochezia had 99m Tc‐pertechnetate scanning either because of the lack of this procedure in the referral clinic or because DBE was decided upon and carried out immediately after colonoscopy after seeing blood in the terminal ileum. DBE has been reported in the diagnosis of Meckel's diverticulum in case studies with the youngest patients being 4 years of age 15–17 . Our study suggested that DBE is a safe and useful tool for diagnosing Meckel's diverticulum in pediatric patients.…”

Section: Discussionmentioning

confidence: 51%

Double‐balloon Enteroscopy in the Evaluation of Small Bowel Disorders in Pediatric Patients

Shen

Sun

Gong

et al. 2011

Digestive Endoscopy

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Section: Discussionmentioning

confidence: 51%

Double‐balloon Enteroscopy in the Evaluation of Small Bowel Disorders in Pediatric Patients

Shen

Sun

Gong

et al. 2011

Digestive Endoscopy

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“…coins, 104 bones, 105 dental reamer, 106 capsules 62 ) as well as migrated stents 107 . Some case reports have described the role of DBE in diagnosing Meckel's diverticula, 108 treating diverticular bleeding, 109 identifying small bowel varices, 110 finding other rare causes of small bowel bleeding (i.e. pyogenic granuloma 111 sea‐blue histiocytosis, 112 blue bleb rubber nevus syndrome 113 or ischemic enteritis 114 ), or discovering small bowel parasites 115 …”

Section: Clinical Indications and Resultsmentioning

confidence: 99%

Double‐balloon endoscopy in clinical practice: Where are we now?

Rondonotti

Sunada

Yano

et al. 2012

Digestive Endoscopy

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Double-balloon endoscopy (DBE) was developed in 2000 for the diagnosis and treatment of small bowel diseases. Although use rates still differ between Eastern and Western countries, DBE quickly reached a broad global diffusion. Together with capsule endoscopy (CE), DBE represented 'a revolution' for the management of small bowel diseases because of its therapeutic capabilities. At present, the main indications for DBE in clinical practice are obscure gastrointestinal bleeding, Crohn's disease and familial polyposis. In the setting of obscure gastrointestinal bleeding, DBE seems to have similar diagnostic performances as capsule endoscopy, but it allows for a more definitive diagnosis and the treatment of identified lesions. The main contribution of DBE in the management of Crohn's disease patients is its therapeutic capabilities. Indeed, several recently published studies have suggested that endoscopic dilation of small bowel strictures can delay or, in the near future, could even replace surgical interventions. Also, for patients with familial polyposis syndromes, DBE can represent a viable alternative to small bowel surgery. The complication rate of DBE appears to be low; major complications, such as pancreatitis, bleeding and perforation, have been reported in approximately 1% of all diagnostic DBE whereas the complication rate for therapeutic procedures is about 5%.

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“…In addition, 6 patients with hemorrhagic MD included in the study did not have ectopic mucosa. Sonozaki et al reported that ectopic gastric mucosa was observed in the surgically resected specimen in only 1 of 3 cases with ulcerations 7 , suggesting that the cause of the ulcerations in the remaining 2 cases without ectopic gastric mucosa was uncertain. Manneret et al speculated that mechanical irritation of the tissue included between the ileal lumen and MD was the cause of the ulceration 14 .…”

Section: Discussionmentioning

confidence: 99%

“…Mylonaki et al observed MD at SBCE and defined it as a “black hole with blood-ﬁlled appearance” 6 . Shinozaki et al reported 5 cases of MD 7 : 3 were associated with ulceration, 1 with diverticulitis and in the remaining case gastrointestinal hemorrhage was caused by hemorrhagic tumor in the jejunum while the MD was only an incidental finding. The authors concluded that ulceration is the only feature related to hemorrhagic MD 7 .…”

Section: Introductionmentioning

confidence: 99%

“…Shinozaki et al reported 5 cases of MD 7 : 3 were associated with ulceration, 1 with diverticulitis and in the remaining case gastrointestinal hemorrhage was caused by hemorrhagic tumor in the jejunum while the MD was only an incidental finding. The authors concluded that ulceration is the only feature related to hemorrhagic MD 7 . However, an ulcerated MD was found only in 35 of 43 pediatric patients (81 %) with gastrointestinal bleeding 8 .…”

Section: Introductionmentioning

confidence: 99%

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Specific characteristics of hemorrhagic Meckel’s diverticulum at double-balloon endoscopy

et al. 2017

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Background and study aims Diagnosis of Meckel’s diverticulum (MD) before surgery may be challenging; double-balloon endoscopy (DBE) facilitates identification of MD in the setting of a gastrointestinal bleeding; however, MD can be found incidentally without this condition. The purpose of this research was to determine specific characteristic of hemorrhagic MD and incidental MD at DBE. Patients and methods Ectopic gastric mucosa enclosed in the MD and/or ulceration were defined as “major findings”; ring-like scar surrounding the MD was defined as “minor finding”. We retrospectively reviewed the medical records of patients affected by MD and analyzed the findings that significantly affected the characterization of MD. Results MD was diagnosed in 33 patients. The axis of the diverticulum was longer in hemorrhagic MD compared to incidental MD (P = 0.031). The amount of transfusion was significantly higher (P = 0.018) in the hemorrhagic MD group. Hemorrhagic MD was significantly more correlated with major findings (P = 0.01) and minor findings (P < 0.01). The specificity of major finding was 100 % while the sensitivity of major and/or minor findings was 96 %. Conclusions The combination of major and minor findings appears to improve the diagnostic ability of hemorrhagic MD avoiding unnecessary diverticulectomy.

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Endoscopic Observation of the Meckel's Diverticulum by Double-Balloon Endoscopy: Report of the Five Cases

Cited by 4 publications

References 0 publications

Double‐balloon Enteroscopy in the Evaluation of Small Bowel Disorders in Pediatric Patients

Double‐balloon Enteroscopy in the Evaluation of Small Bowel Disorders in Pediatric Patients

Double‐balloon endoscopy in clinical practice: Where are we now?

Specific characteristics of hemorrhagic Meckel’s diverticulum at double-balloon endoscopy

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