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Multifaceted behavior of Meckel's diverticulum in children
Qingjiang Chen1, Zhigang Gao1, Lifeng Zhang1
1Department of pediatric general surgery, Children's Hospital, Zhejiang University School of Medicine, No. 57 Zhugan Street, Xiacheng District, Hangzhou, P.R. China 310000.
Journal of Pediatric Surgery
|January 15, 2018
Summary
Meckel's diverticulum (MD) presents varied symptoms in children, challenging diagnosis. Early suspicion and laparoscopic treatment are key for managing this common congenital gastrointestinal malformation.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Gastrointestinal Tract Disorders
Background:
- Meckel's diverticulum (MD) is a frequent congenital anomaly in children.
- Nonspecific clinical signs often complicate the diagnosis and treatment of MD in pediatric patients.
Purpose of the Study:
- To review management strategies for Meckel's diverticulum.
- To evaluate the center's experience in managing pediatric MD cases.
Main Methods:
- Retrospective analysis of clinical data from pediatric MD patients (2010-2015).
- Inclusion of demographic, clinical, diagnostic, surgical, histopathological, and outcome data.
- Evaluation of diagnostic methods like Tc-99m scans for bleeding.
Main Results:
- 286 patients (210 males, 76 females) aged 1 day to 15 years were analyzed.
- 233 patients were symptomatic with bleeding, diverticulitis, obstruction, or intussusception.
- Histology confirmed ectopic tissue in 154 patients; laparoscopy was favored for diagnosis and treatment.
Conclusions:
- MD diagnosis in children requires high clinical suspicion due to varied presentations.
- Ectopic tissue is a primary cause of complicated MD.
- Laparoscopic approaches are recommended for MD diagnosis and treatment in pediatric patients.