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Meckel's diverticulum: a continuing dilemma?

S H Kashi¹, J P Lodge

¹Academic Unit of Surgery, St James's University Hospital, Leeds, UK.

Journal of the Royal College of Surgeons of Edinburgh

|December 1, 1995

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See all related articles

For incidentally discovered Meckel

Area of Science:

Gastroenterology
Surgical Outcomes
Abdominal Surgery

Background:

Meckel's diverticulum (MD) is a congenital anomaly.
Surgical management of MD, particularly incidental findings, remains debated.

Purpose of the Study:

To evaluate the long-term outcomes of incidentally discovered Meckel's diverticulum.
To assess the complication rates associated with Meckel's diverticulectomy versus observation.

Main Methods:

Retrospective review of 43 Meckel's diverticulum cases over 15 years.
Long-term follow-up (average 8 years) obtained in 85% of patients.
Comparison of complication rates between resected and non-resected incidental MD.

Main Results:

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Meckel's diverticulectomy was performed in 35 cases, with 21 being incidental findings.
Overall complication rate was 26%, rising to 30% in asymptomatic patients.
No complications were observed in 8 cases with non-resected incidental Meckel's diverticulum.

Conclusions:

Incidental Meckel's diverticulum may not require resection.
Observation appears safe for asymptomatic incidental Meckel's diverticulum, avoiding surgical risks.