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Meckel's diverticulum in children: a 20-year review
D St-Vil1, M L Brandt, S Panic
1Department of Surgery, Hôpital Sainte-Justine, Montreal, Quebec, Canada.
Journal of Pediatric Surgery
|November 1, 1991
Summary
Meckel
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Pathology
Background:
- Meckel's diverticulum is a congenital anomaly affecting 2% of the population.
- Its management, especially when found incidentally, is debated, particularly in children.
Purpose of the Study:
- To analyze the presentation, management, and outcomes of Meckel's diverticulum in a pediatric population.
- To evaluate the significance of incidental findings and symptomatic presentations.
Main Methods:
- Retrospective review of 164 pediatric patients with Meckel's diverticulum from 1970 to 1989.
- Analysis of surgical records, pathology reports, and clinical outcomes.
Main Results:
- Of 164 children, 47 were asymptomatic and 117 were symptomatic.
- Symptomatic patients presented with obstruction (42%), rectal bleeding (38%), or diverticulitis (14%).
- Ectopic gastric mucosa was found in 28% of asymptomatic and 61% of symptomatic resected specimens.
Conclusions:
- Meckel's diverticulum presents with diverse pathologies in children.
- Ectopic mucosa is a significant predisposing factor for complications.
- Careful consideration of management is needed for both incidental and symptomatic cases.
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