Meckel′s diverticulum in paediatric practice on Crete (Greece): A 10-year review

Blevrakis, Evangelos; Partalis, Nikolaos; Seremeti, C; Sakellaris, George

doi:10.4103/0189-6725.91665

Cited by 35 publications

(18 citation statements)

References 19 publications

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“…The average age of the patients with intestinal haemorrhage was 2.1 years. Although haemorrhage is the most common complication in paediatric age with reported incidence as high as 50%,[28] but we observed a very low incidence. Menezes and Chen et al .…”

Section: Discussionmentioning

confidence: 50%

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Meckel's diverticulum in children: Our 12-year experience

Rattan¹,

Singh²,

Dalal³

et al. 2016

Afr J Paediatr Surg

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Background:Meckel's diverticulum (MD) is the one of the most common congenital malformation of gastrointestinal tract and has varied clinical presentations. We are presenting here our 12-year experiences with MD in children at tertiary care hospital in North India. It highlights the fact that isolated gangrene of MD can occur, and it is associated with increased morbidity.Materials and Methods:This retrospective study is conducted by analysing the medical records of the patients who were operated for MD in the last 12 years in paediatric surgery department at our hospital.Results:Sixty-five patients were operated for MD in study period; in this 52 were males and 13 were females with mean age of presentation 3.2 years. The most common presentation was intestinal obstruction seen in 86.1% (56 cases). Intestinal haemorrhage was seen in 4.6% (3 cases) and diverticulitis in 3% (2 cases). Perforation of the gut with peritonitis was present in 6.1% (four cases). Cause of obstruction was intussusception in 21.4% (12 cases), fibrous band connected to umbilicus in 17.8% (10 cases), volvulus in 17.8% (10 cases), kinking in 16.0% (9 cases), knotting in 14.2% (8 cases) and herniation of gut below in 12.5% (7 cases). Isolated gangrene of MD was present in ten cases with intestinal obstruction. The ectopic gastric mucosa was seen in three and pancreatic mucosa in two cases. Mortality and morbidity during the study were one and three cases, respectively.Conclusion:MD may remain clinically silent for lifetime, or it may have life-threatening complications. In our series, intestinal obstruction and not the haemorrhage was the most common presentation. Isolated gangrene of MD with obstruction was present in significant numbers, which we failed to find in literature.

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Section: Discussionmentioning

confidence: 50%

“…had reported the incidence of haemorrhage as 55.5 and 39%, respectively. [2829] An Indian series by Mittal et al . had observed intestinal haemorrhage in 71.42% cases.…”

Section: Discussionmentioning

confidence: 99%

Meckel's diverticulum in children: Our 12-year experience

Rattan¹,

Singh²,

Dalal³

et al. 2016

Afr J Paediatr Surg

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“…19, 20 Several prior studies have also shown successful resection of a Meckel diverticulum via diverticulectomy-only for children presenting with symptoms of bleeding. 13, 15 There are advantages of this approach, including the ease of diverticulectomy with laparoscopy and elimination of the need for an enterectomy.…”

Section: Discussionmentioning

confidence: 99%

Optimizing surgical resection of the bleeding Meckel diverticulum in children

Robinson

Correa

Brinkman

et al. 2017

Journal of Pediatric Surgery

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Purpose Meckel diverticula containing gastric heterotopia predispose to local hyperacidity, mucosal ulceration, and gastrointestinal bleeding in children. Eradication of acid-producing oxyntic cells is performed by either of two surgical methods: segmental enterectomy including the diverticulum or diverticulectomy only. Methods Retrospective review of all children having surgical resection of a Meckel diverticulum at a tertiary-referral children’s hospital from 2002–2016 was performed. Demographic data, surgical method, pathological specimens, and outcomes were evaluated. Results 102 children underwent surgical resection of a Meckel diverticulum during the study period. 27 (26.5%) children presented with bleeding, of which 16 (59%) had diverticulectomy only, and 11 (41%) had segmental ileal resection. All Meckel diverticula in children presenting with bleeding contained gastric heterotopia, and resection margins were free of gastric mucosa. Histologically, 19 specimens showed microscopic features of ulceration, on average 2.95 mm (SD 4.49) from the nearest gastric mucosa (range: 0–16 mm). Mean length of hospitalization after ileal resection was 4.0 days (SD 1.2) compared to 1.6 days (SD 0.9) for diverticulectomy only (p<0.001), with no re-bleeding occurrences. Conclusion In the operative management of children having a bleeding Meckel diverticulum, diverticulectomy-only completely eradicates gastric heterotopia without increased risk of continued bleeding or complications and significantly shortens hospitalization.

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“…8 _ENREF_9 Of these, intussusception with MD as the leading point, followed by a mechanical volvulus of the small intestine around a persistent band that has attached the MD to the umbilicus, 8 _ENREF_10 are the most common.…”

Section: Discussionmentioning

confidence: 99%

A Pediatric Case of Meckel Diverticulum with Uncommon Presentation Showing No Lower Gastrointestinal Bleeding

Mehrabani

Osia

2017

Pediatric Reports

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Meckel’s diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. Painless intestinal hemorrhage is a frequently occurring complication that relates to MD in children. Bowel obstruction is a rare complication of MD in children. We report on the case of a four-year old male child who presented with abdominal pain and hematemesis. Finally, bowel obstruction due to MD was confirmed at surgery.

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Meckel′s diverticulum in paediatric practice on Crete (Greece): A 10-year review

Abstract: All patients with MD underwent Meckel's diverticulectomy with appendicectomy. MD has an incidence of approximately 1 to 2% in our population. It is necessary to maintain a high index of suspicion in the diagnosis of MD paediatric age group because it can be easily misdiagnosed.

Cited by 35 publications

References 19 publications

Meckel's diverticulum in children: Our 12-year experience

Meckel's diverticulum in children: Our 12-year experience

Optimizing surgical resection of the bleeding Meckel diverticulum in children

A Pediatric Case of Meckel Diverticulum with Uncommon Presentation Showing No Lower Gastrointestinal Bleeding

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