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[Meckel's diverticulum and its complications in children]
1Department of Pediatric Surgery, Second Affiliated Hospital, Hunan Medical University, Changsha.
Hunan Yi Ke Da Xue Xue Bao = Hunan Yike Daxue Xuebao = Bulletin of Hunan Medical University
|May 12, 2000
Summary
Surgical treatment for Meckel
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Meckel's diverticulum is a congenital anomaly of the small intestine.
- It can lead to various complications requiring surgical intervention.
Purpose of the Study:
- To review surgical cases of Meckel's diverticulum.
- To analyze clinical presentations, diagnostic methods, and surgical outcomes.
Main Methods:
- Retrospective analysis of 72 surgically treated cases of Meckel's diverticulum.
- Review of patient demographics, symptoms, operative findings, and postoperative results.
- Evaluation of diagnostic accuracy of nuclear medicine Meckel scan (99mTcO4- scintiphoto).
Main Results:
- A total of 72 patients (61 boys, 11 girls) with a mean age of 5.2 years underwent surgery.
- Common presentations included rectal bleeding (43%), bowel obstruction (23%), and peritonitis (24%).
- Ectopic mucosa was found in 65.3% of cases, most commonly gastric or pancreatic.
- Nuclear medicine Meckel scan showed 84% sensitivity, with 99mTcO4- scintiphoto being highly specific.
Conclusions:
- Meckel's diverticulum requires surgical management for symptomatic cases.
- Early diagnosis and appropriate surgical technique, such as diverticulectomy with end-to-end anastomosis, are crucial for favorable outcomes.