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Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...

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Updated: Jun 30, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
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Is incidental Meckel's diverticulum resected safely?

Baris Zulfikaroglu1, Necdet Ozalp, Ebru Zulfikaroglu

  • 1Department of General Surgery, Gazi University School of Medicine, Ankara, Turkey. mtez@hacettepe.edu.tr

The New Zealand Medical Journal
|September 26, 2008
PubMed
Summary

Resecting incidentally found Meckel's diverticulum (MD) is safe. This study found no increased risk of complications or death in patients who had asymptomatic MD removed compared to those with symptomatic MD.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Clinical Outcomes

Background:

  • Meckel's diverticulum (MD) is a common congenital small intestine anomaly.
  • Many MD cases are found incidentally during unrelated surgeries.
  • Management of asymptomatic MD remains debated.

Purpose of the Study:

  • Compare clinicopathologic features of incidental vs. symptomatic MD.
  • Evaluate morbidity and mortality in asymptomatic vs. symptomatic MD patients.

Main Methods:

  • Retrospective review of 76 MD resections (1989-2004).
  • Patients divided into incidental (n=40) and symptomatic (n=36) groups.
  • Comparison of demographics, complications, and outcomes.

Main Results:

  • No significant differences in age, gender, APACHE scores, complications, or hospital stay between groups.
  • Two deaths occurred in the symptomatic group.
  • Operative mortality correlated with APACHE II scores.

Conclusions:

  • Resection of incidentally found MD does not increase operative morbidity or mortality.
  • Symptomatic MD cases had higher operative mortality, linked to APACHE II scores.