Laparoscopic Diagnosis and Treatment of Meckel's Diverticulum Complicated by Gastrointestinal Bleeding

Echenique, Miguel; Dominguez, Albert Suarez; Echenique, Ignacio A.; Rivera, Vidal

doi:10.1089/lps.1993.3.145

Cited by 14 publications

(9 citation statements)

References 6 publications

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“…[5][6][7][8][9][10][11] The minimally invasive nature of CL in contrast to exploratory laparotomy appears a lot more appealing as a surgical option particularly when all the preoperative investigations are negative. Most of the previous reports described a 3-port technique to locate the pathology followed by exteriorizing the bowel segment bearing the abnormality for extracorporeal resection through the umbilical wound, which may or may not need to be extended.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the previous reports described a 3-port technique to locate the pathology followed by exteriorizing the bowel segment bearing the abnormality for extracorporeal resection through the umbilical wound, which may or may not need to be extended. [5][6][7][9][10][11] Others have reported laparoscopic intracorporeal diverticulectomy using Endo GIA stapler across the base of Meckel's diverticulum. 6,15,16 Such an approach in general is not advocated in those cases of Meckel's diverticulum complicated with bleeding, as it may not be adequate to remove all the ectopic gastric mucosa, and segmental resection of intestine bearing the Meckel's diverticulum is the preferred method 7,9,17 in such circumstances.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7][8][9][10][11] Its advantages over exploratory laparotomy are particularly obvious under those circumstances when all preoperative investigations are negative. Very recently, single-incision laparoscopic surgery (SILS) has emerged as an evolution from conventional laparoscopy (CL), with the intention to further improve the cosmetic outcomes and reduce surgical trauma.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Single-Incision Laparoscopic Surgery in Diagnosis and Treatment for Gastrointestinal Bleeding of Obscure Origin in Children

Tam

Chan²,

Wong³

et al. 2013

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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In this multimedia manuscript with video presentation, we reported our experience of performing single-incision laparoscopic surgery (SILS) on 3 children who presented with gastrointestinal bleeding from congenital small bowel lesions. Preoperative investigations including endoscopy and technetium scintigraphy were all negative in the 3 patients aged 4, 7, and 10 years, respectively. SILS was performed using reusable 3- and 5-mm ports and standard straight instruments. The small bowel lesions were located by SILS and the bowel segment with the pathology was exteriorized through the umbilical wound for extracorporeal resection. The diagnoses of the 3 children were Meckel's diverticulum, ileal duplication cyst, and multiple small bowel vascular malformations. All the 3 children recovered uneventfully from surgery without any complications and required minimal postoperative analgesia. Our experience suggested that SILS is an effective alternative to conventional laparoscopy in both diagnostic and therapeutic functions for children with gastrointestinal bleeding of obscure origin.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Single-Incision Laparoscopic Surgery in Diagnosis and Treatment for Gastrointestinal Bleeding of Obscure Origin in Children

Tam

Chan²,

Wong³

et al. 2013

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…15 our cases, some researchers have recommended diagnostic laparoscopy ahead of bidirectional endoscopy in the evaluation of LGIB, as air insufflation during the procedure might hinder a successful laparoscopic evaluation under the same general anesthesia. 15 Resection of bleeding Meckel's diverticulum has been accomplished by laparoscopy-assisted extracorporeal bowel resection [14][15][16][17][18] or intracorporial suturing and stapling techniques. 19 However, there are anecdotal reports of the complete laparoscopic treatment of alimentary duplications 20 in children in the literature, so far.…”

Section: Discussionmentioning

confidence: 99%

Successful Laparoscopic Treatment of Hemorrhage from Ileal Duplication Cyst in a 10-Year-Old Saudi Boy

Pal

Shafei

Buainain

et al. 2010

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Lower gastrointestinal hemorrhage often produces diagnostic difficulty in children. Endoscopy, radionuclide scans, computed tomography/magnetic resonance angiography, and conventional angiography have been the usual armamentarium for locating the site of bleeding. In recent times, laparoscopy has offered an effective tool for diagnosing various intra-abdominal, especially extraluminal, pathologies elusive to other modalities of diagnosis. In this paper, we present a case of massive hemorrhage from an ileal duplication cyst in a 10-year-old Saudi boy diagnosed and treated by laparoscopy. We believe this is the first such reported case from the Kingdom of Saudi Arabia.

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“…(Key words Meckel's diverticulum, gastrointestinal hemorrhage, intestincl obstruction, gostric mucosa, inguinal hernia, small intesti-e.) El divertfculo de Meckel (DM) es la anomalia mas frecuente del tubo digestive, se encuentra en intestino delgado y se forma a partir de la obliteration incompleta del conducto onfalomesenterico, csta constituido por todas las capas intestinales y puede contener varios tipos de mucosa (gdstrica, pancreatica, co!6nica y duodenal} 10 . El defecio fue descrito en el siglo XVI por Hildanus.…”

Section: Meckel's Diverticulumunclassified

Divertículo de Meckel

Godoy

L³

et al. 1997

Rev. chil. pediatr.

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ResumeaCcn los proposilos de describir la incidencia de diverticulo de Meckel en necropsies de ninos fallecidos par otrcs causas, las pnncipoles for mas de oresentacion clinica de la afeccicn y la correlocicn de las rnanifestaciones con la presencic de nucosa heterotooica en la anonalia, se revisaron *odas las 3 244 au'cpsias rec! ; zadas entre Ics arios 1970 y " 995 en un hospital pediatrico de Santiago metropolitano y Ics registros clinicos de 66 pacienles a los cucles se les extirpo un a'iverticuo de Meckel er. e! mismo periodo. Se enccntro c'iverticulo c'e Meckel en 45 ninos 128 varones, proporcion m : : = 1,6 : II sometidos a necropsia (1,38%). En el m'smo oerioco se extirparon diverticulos de Meckel sintomaticos a 66 pacenles (49 varones, proporcion m ; f = 2,8 : 1) entre 14 dias y 14 anos de edad, 33 i5C%] consultaron por hernorrocia digestive, 18 (27%) per obstruccicn "nrest : na, " 1 por s'ntonas qje sirrulaban ape n dicitis agjda y 4 hernia inguinal. En todos los casos que sugerfon aoendicitis el diverticulo moslraba signos c'e mflamacion y en 10 estaba oerforado. Solo en uro de 23 casos de hallazcc en autopsio en que fue posible el examen microscooico se enconfro nuccsc ec'opica (gastrica}. En 45 de los 66 civerliculos extirpados por dor sintomas cl'nicos se enconlro mucosa gastrica y en 57% de ellos la afeccion se manifesto oor hemo^agia digestive. En 4 pacientes se encontro mucosa pancreatica y en uno un mixoma. En 54 de 66 pacientes fue posible identificar mucosa gdstrica o bandas dependientes del diverticulo, por lo que :a presencia de amoas constituye a nuesrro juicio una indicacion de extirpoc'on en caso de hallazco incidental durante cirugia abdominal. {Palabras clave: diverticulo de Meckel, hemorragia digestive, obstruccion intestinal, intestino delgado, mucosa gcstrica, hernia inguina'.j Meckel's diverticulumTo describe "he incidence of Meckel's diverticulurr in poslmortem studies among children, the predomi~ant clinical manifestations h pat ents subm'ted fo abdominal surgery bv this cause and t u e co'relation of symptoms wirh heferotopic gastric rr.ucosa, the files from all 3 244 necropsies perro r med to indents a"d children from year 1970 throughou r "995, togetier with the cl'n'cal recorc's of 66 additional pediatrc parents who underwent Mecke^'s diverticulum surgical resection alone 'he sane period at c university associated pediatric hospital were reviewed. Meckel's diverticjlum was an unexpected autopsy finding in 45 1,38%! necropsies, sex ratio was m : f = 1.6 : 1, only one of 23 r 45 histologically sampled specimens included ectopic (gastric) mucosa. Amorg 66 patients suomited to surgerv because a symptomatic Mecke''s c'ivem'culum, age ranged 14 days to 14 years,. 49 were male (m ; f = 2.8 : 1 ]; 3o (50%;, presented w'tn gastro ntest'nal hemorrhage, 18 127%) with in'estirial obstruction, acute apoendicitis was the initial clinical diagnosis in 1 1 I 7%) patients and 4 (6%) children were operated by an inguinal hern'a. DVerticulae showed signs of inflonation in all surgically operate...

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Laparoscopic Diagnosis and Treatment of Meckel's Diverticulum Complicated by Gastrointestinal Bleeding

Abstract: Laparoscopy has been utilized for many gynecological and surgical procedures that previously required laparotomy. Its use in the diagnosis and treatment of Meckel's diverticulum complicated by gastrointestinal bleeding is described.

Cited by 14 publications

References 6 publications

Single-Incision Laparoscopic Surgery in Diagnosis and Treatment for Gastrointestinal Bleeding of Obscure Origin in Children

Single-Incision Laparoscopic Surgery in Diagnosis and Treatment for Gastrointestinal Bleeding of Obscure Origin in Children

Successful Laparoscopic Treatment of Hemorrhage from Ileal Duplication Cyst in a 10-Year-Old Saudi Boy

Divertículo de Meckel

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