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Meckel's diverticulum: should it be excised incidentally at operation?

C A Michas, S E Cohen, E F Wolfman

    American Journal of Surgery
    |June 11, 1975
    PubMed

    Insights

    Meckel's diverticulum, a common congenital small intestine abnormality, can cause serious complications. Incidental diverticulectomy is recommended if the risks of the primary surgery are not significantly increased.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology
    • Congenital Abnormalities

    Background:

    • Meckel's diverticulum is the most frequent congenital anomaly of the small intestine, affecting approximately 2% of the population.
    • Complications such as hemorrhage, inflammation, obstruction, and neoplasms occur in 15-33% of cases, necessitating surgical intervention.
    • Symptomatic Meckel's diverticulum is associated with high rates of morbidity and mortality.

    Purpose of the Study:

    • To evaluate the indications and outcomes of Meckel's diverticulectomy.
    • To determine the optimal management strategy for incidental Meckel's diverticulum.

    Main Methods:

    • Review of existing literature on Meckel's diverticulum.
    • Analysis of complication rates and surgical outcomes.
    • Assessment of risks associated with incidental diverticulectomy.

    Main Results:

    • Complications of Meckel's diverticulum are frequent and severe.
    • Surgical treatment is invariably required for symptomatic cases.
    • Incidental Meckel's diverticulectomy can be safely performed in select cases.

    Conclusions:

    • Meckel's diverticulum management requires careful consideration of potential complications.
    • Incidental Meckel's diverticulectomy should be considered when the associated risks are minimal.
    • Early surgical intervention for symptomatic Meckel's diverticulum is crucial to reduce morbidity and mortality.

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