Research Article
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Year 2019, Volume: 36 Issue: 3, 67 - 71, 10.02.2020

Abstract

References

  • Ahmed K, Hayet Z, Hamdi L, Mahdi BD, Mohamed J, Riadh M, 2016. Laparoscopic management of an axially torsed gangrenous Meckel’s diverticulum in a child. Afr J Paediatr Surg Jul-Sep;13(3):150-1.
  • Blevrakis E, Partalis N, Seremeti C, Sakellaris G, 2011. Meckel’s diverticulum in paediatric practice on crete (Greece). Afr J Paediatr Surg. Sep-Dec;8(3):279-82.
  • Celebi S, 2017. Male predominance in Meckel’s Diverticulum: a hyperacidity hypotheses. Med Hypotheses. Jul;104:54-57.
  • Chen Q, Gao Z, Zhang L, Zhang Y, Pan T, Caj D, Xiong Q, Shu Q, Qian Y, 2018. Multifaceted behavior of Meckel’s diverticulum in children. J Pediatr Surg. Apr;53(4):676-681.
  • Choi SY, Hong SS, Park HJ, Lee HK, Shin HC, Choi GC, 2017. The many faces of Meckel’s diverticulum and its complications. J Med Imaging Radiat Oncol. Apr;61(2):225-231.
  • Ezekian B, Leraas HJ, Englum BR, Gilmore BF, Reed C, Fitzgerald TN, Rice HE, Tracy ET, 2019. Outcomes of laparoscopic resection of Meckel’s diverticulum are equivalent to open laparotomy. J Pediatr Surg. Mar;54(3):507-510.
  • Farah RH, Avala P, Khaiz D, Bensardi F, Elhattabi K, Lefriyekh R, Berrada S, Fadil A, Zerouali NO, 2015. Spontaneous perforation of Meckel’s diverticulum: a case report and review of literature. Pan Afr Med J Apr 1;20:319.
  • Gezer HO, Temiz A, Ince E, Ezer SS, Hasbay B, Hicsönmez A, 2016. Meckel diverticulum in children: evaluation of macroscopic appearence for guidance in subsequent surgery. J Pediatr Surg Jul;51(7):1177-80.
  • Glenn IC, El-Shafy IA, Bruns N, Muenks EP, Duran YK, Hill JA, Peter SDS, Prince JM, Lipskar AM, Ponsky TA, 2018. Simple diverticulectomy is adequate for management of bleeding Meckel Diverticulum. Pediatr Surg Int Apr;34(4):451-455.
  • Huang CC, Lai MW, Hwang FM, Yeh YC, Chen SY, Kong MS, Lai JY, Chen JC, Ming YC, 2014. Diverse presentations in pediatric Meckel’s diverticulum: a review of 100 cases. Pediatr Neonatol. Oct;55(5):369-75.
  • Irvine I, Doherty A, Hayes R, 2017. Bleeding meckel’s diverticulum: a study of the accuracy of pertechnetate scintigraphy as a diagnostic tool. Eur J Radiol Nov;96:27-30.
  • Lei J, Xu W, Yang W, Xiao J, Huang H, Deng Q, Xu H, Feng L, Tao Q, Zhang S, 2018. A faster and simpler way of operation for Meckel’s diverticulum: basal ligation combined with intraoperative frozen section. Surg Endosc. Mar;32(3):1464-1469.
  • Lin XK, Huang XZ, Bao XZ, Zheng N, Xia QZ, Chen CD, 2017. Clinical characteristics of Meckel diverticulum in children: a retrospective review of a 15-year single-center experience. Medicine (Bltimore) Aug;96(32):e7760.
  • Lin XK, Xia QZ, Huang XZ, Han YJ, He GR, Zheng N, 2017. Clinical characteristics of intussusception secondary to pathologic lead points in children: a single- center experience. Pediatr Surg İnt Jul;33(7):793-7.
  • Menezes M, Tareen F, Saeed A, Khan N, Puri P, 2008. Symptomatic Meckel’s diverticulum in children: a 16-year review. Pediatr Surg Int. May;24(5):575-7.Park JJ,
  • Wolff BG, Tollefson MK, Walsh EE, Larson DR, 2005. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg Mar;241(3):529-33.
  • Rattan KN, Singh J, Dalal P, Rattan A. Meckel’s diverticulum in children: our 12-year experience. Afr J Paediatr Surg 2016 Oct-Dec;13(4):170-174.
  • Robinson JR, Correa H, Brinkman AS, Lovvorn HN. Optimizing surgical resection of the bleeding Meckel Diverticulum in Children. J Pediatr Surg 2017 Oct;52(10):1610-1615.
  • Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: a systematic review. J R Soc Med. 2006 OCT;99(10):501-5.
  • Simon NM, Joseph J, Philip RR, Sukumaran TU, Philip R. Intussusception: single center experience of 10 years. Indian Pediatr 2019 Jan 15;56(1):29-32.
  • Slivova I, Vavrova Z, Tomaskova H, Okantey O, Penka I, Ihnat P. Meckel’s Diverticulum in children-parameters predicting the presence of gastric heterotopia. World J Surg 2018 Nov;42(11):3779-3784.
  • Talabi AO, Famurewa OC, Bamigbola KT, Sowande OA, Afolabi BI, Adejuyigbe O, 2018. Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study. BMC Emerg Med. Nov 21;18(1):46.
  • Tseng YY, Yang YJ, 2009. Clinical and diagnostic relevance of Meckel’s diverticulum in children. Eur J Pediatr. Dec;168(12):1519-23.
  • Zani A, Eaton S, Rees CM, Pierro A, 2008. Incidentally detected Meckel diverticulum: to resect or not to resect? Ann Surg. Feb;247(2):276-81.

Complications of Meckel’s diverticulum in children: A 10-years experience

Year 2019, Volume: 36 Issue: 3, 67 - 71, 10.02.2020

Abstract

Meckel’s diverticulum is the most common congenital anomaly of the gas-trointestinal tract. We aimed to evaluate the risk factors which could be cause complications of Meckel’s diverticulum. The patients who were operated in our clinic on for Meckel’s diverticulum complications between 2008-2018 were evaluated retrospectively for age, gender, timing of surgery, scintigraphic de-tection of bleeding, histopathological evaluation, type of resection and surgical method. 62 patients (38 males, 24 females) (6 months-17.08 years), 35 under-went emergent and 27 elective surgery. Only 3 had preoperative diagnosis who underwent emergency surgery. In the emergency group, the number of invag-ination, internal herniation, diverticulitis and perforation were 14, 11, 6, 4 re-spectively. Twenty two patients were managed with laparatomy and the thirteen patients were managed with laparoscopy asisted. Ileal segment resection and wedge resection were performed in 16 and 19 patients retrospectively. In emer-gency surgery group 16 patients had both ectopic stomach and pancreas tissue and six patients had gastric tissue alone in histopathological evaluation. On the other hand 13 patients had no ectopic tissue. All the elective surgery group patients had rectal bleeding and scintigraphic imaging was performed to the all patients. Ectopic focal radionuclide substance accumulation was detected in the 22 patients. In this group, 21 patients were managed with laparoscopy asisted and only six patients underwent laparatomy. Ileal segment resection and wedge resection were performed in 11 and 16 patients, respectively. In the all cases, histopathological specimens had gastric mucosa in the elective surgery group. Meckel’s diverticulum has serious complications in children. Existance of ectopic mucosa does not affect the development of complications rate requiring urgent surgery.

References

  • Ahmed K, Hayet Z, Hamdi L, Mahdi BD, Mohamed J, Riadh M, 2016. Laparoscopic management of an axially torsed gangrenous Meckel’s diverticulum in a child. Afr J Paediatr Surg Jul-Sep;13(3):150-1.
  • Blevrakis E, Partalis N, Seremeti C, Sakellaris G, 2011. Meckel’s diverticulum in paediatric practice on crete (Greece). Afr J Paediatr Surg. Sep-Dec;8(3):279-82.
  • Celebi S, 2017. Male predominance in Meckel’s Diverticulum: a hyperacidity hypotheses. Med Hypotheses. Jul;104:54-57.
  • Chen Q, Gao Z, Zhang L, Zhang Y, Pan T, Caj D, Xiong Q, Shu Q, Qian Y, 2018. Multifaceted behavior of Meckel’s diverticulum in children. J Pediatr Surg. Apr;53(4):676-681.
  • Choi SY, Hong SS, Park HJ, Lee HK, Shin HC, Choi GC, 2017. The many faces of Meckel’s diverticulum and its complications. J Med Imaging Radiat Oncol. Apr;61(2):225-231.
  • Ezekian B, Leraas HJ, Englum BR, Gilmore BF, Reed C, Fitzgerald TN, Rice HE, Tracy ET, 2019. Outcomes of laparoscopic resection of Meckel’s diverticulum are equivalent to open laparotomy. J Pediatr Surg. Mar;54(3):507-510.
  • Farah RH, Avala P, Khaiz D, Bensardi F, Elhattabi K, Lefriyekh R, Berrada S, Fadil A, Zerouali NO, 2015. Spontaneous perforation of Meckel’s diverticulum: a case report and review of literature. Pan Afr Med J Apr 1;20:319.
  • Gezer HO, Temiz A, Ince E, Ezer SS, Hasbay B, Hicsönmez A, 2016. Meckel diverticulum in children: evaluation of macroscopic appearence for guidance in subsequent surgery. J Pediatr Surg Jul;51(7):1177-80.
  • Glenn IC, El-Shafy IA, Bruns N, Muenks EP, Duran YK, Hill JA, Peter SDS, Prince JM, Lipskar AM, Ponsky TA, 2018. Simple diverticulectomy is adequate for management of bleeding Meckel Diverticulum. Pediatr Surg Int Apr;34(4):451-455.
  • Huang CC, Lai MW, Hwang FM, Yeh YC, Chen SY, Kong MS, Lai JY, Chen JC, Ming YC, 2014. Diverse presentations in pediatric Meckel’s diverticulum: a review of 100 cases. Pediatr Neonatol. Oct;55(5):369-75.
  • Irvine I, Doherty A, Hayes R, 2017. Bleeding meckel’s diverticulum: a study of the accuracy of pertechnetate scintigraphy as a diagnostic tool. Eur J Radiol Nov;96:27-30.
  • Lei J, Xu W, Yang W, Xiao J, Huang H, Deng Q, Xu H, Feng L, Tao Q, Zhang S, 2018. A faster and simpler way of operation for Meckel’s diverticulum: basal ligation combined with intraoperative frozen section. Surg Endosc. Mar;32(3):1464-1469.
  • Lin XK, Huang XZ, Bao XZ, Zheng N, Xia QZ, Chen CD, 2017. Clinical characteristics of Meckel diverticulum in children: a retrospective review of a 15-year single-center experience. Medicine (Bltimore) Aug;96(32):e7760.
  • Lin XK, Xia QZ, Huang XZ, Han YJ, He GR, Zheng N, 2017. Clinical characteristics of intussusception secondary to pathologic lead points in children: a single- center experience. Pediatr Surg İnt Jul;33(7):793-7.
  • Menezes M, Tareen F, Saeed A, Khan N, Puri P, 2008. Symptomatic Meckel’s diverticulum in children: a 16-year review. Pediatr Surg Int. May;24(5):575-7.Park JJ,
  • Wolff BG, Tollefson MK, Walsh EE, Larson DR, 2005. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg Mar;241(3):529-33.
  • Rattan KN, Singh J, Dalal P, Rattan A. Meckel’s diverticulum in children: our 12-year experience. Afr J Paediatr Surg 2016 Oct-Dec;13(4):170-174.
  • Robinson JR, Correa H, Brinkman AS, Lovvorn HN. Optimizing surgical resection of the bleeding Meckel Diverticulum in Children. J Pediatr Surg 2017 Oct;52(10):1610-1615.
  • Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: a systematic review. J R Soc Med. 2006 OCT;99(10):501-5.
  • Simon NM, Joseph J, Philip RR, Sukumaran TU, Philip R. Intussusception: single center experience of 10 years. Indian Pediatr 2019 Jan 15;56(1):29-32.
  • Slivova I, Vavrova Z, Tomaskova H, Okantey O, Penka I, Ihnat P. Meckel’s Diverticulum in children-parameters predicting the presence of gastric heterotopia. World J Surg 2018 Nov;42(11):3779-3784.
  • Talabi AO, Famurewa OC, Bamigbola KT, Sowande OA, Afolabi BI, Adejuyigbe O, 2018. Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study. BMC Emerg Med. Nov 21;18(1):46.
  • Tseng YY, Yang YJ, 2009. Clinical and diagnostic relevance of Meckel’s diverticulum in children. Eur J Pediatr. Dec;168(12):1519-23.
  • Zani A, Eaton S, Rees CM, Pierro A, 2008. Incidentally detected Meckel diverticulum: to resect or not to resect? Ann Surg. Feb;247(2):276-81.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Berat Dilek Demirel

Sertac Hancıoglu This is me 0000-0003-0534-1931

Unal Bicakci 0000-0002-9604-4184

Ferit Bernay 0000-0002-6970-8491

Ender Ariturk 0000-0001-6811-5494

Publication Date February 10, 2020
Submission Date November 7, 2019
Acceptance Date November 28, 2019
Published in Issue Year 2019 Volume: 36 Issue: 3

Cite

APA Demirel, B. D., Hancıoglu, S., Bicakci, U., Bernay, F., et al. (2020). Complications of Meckel’s diverticulum in children: A 10-years experience. Journal of Experimental and Clinical Medicine, 36(3), 67-71.
AMA Demirel BD, Hancıoglu S, Bicakci U, Bernay F, Ariturk E. Complications of Meckel’s diverticulum in children: A 10-years experience. J. Exp. Clin. Med. February 2020;36(3):67-71.
Chicago Demirel, Berat Dilek, Sertac Hancıoglu, Unal Bicakci, Ferit Bernay, and Ender Ariturk. “Complications of Meckel’s Diverticulum in Children: A 10-Years Experience”. Journal of Experimental and Clinical Medicine 36, no. 3 (February 2020): 67-71.
EndNote Demirel BD, Hancıoglu S, Bicakci U, Bernay F, Ariturk E (February 1, 2020) Complications of Meckel’s diverticulum in children: A 10-years experience. Journal of Experimental and Clinical Medicine 36 3 67–71.
IEEE B. D. Demirel, S. Hancıoglu, U. Bicakci, F. Bernay, and E. Ariturk, “Complications of Meckel’s diverticulum in children: A 10-years experience”, J. Exp. Clin. Med., vol. 36, no. 3, pp. 67–71, 2020.
ISNAD Demirel, Berat Dilek et al. “Complications of Meckel’s Diverticulum in Children: A 10-Years Experience”. Journal of Experimental and Clinical Medicine 36/3 (February 2020), 67-71.
JAMA Demirel BD, Hancıoglu S, Bicakci U, Bernay F, Ariturk E. Complications of Meckel’s diverticulum in children: A 10-years experience. J. Exp. Clin. Med. 2020;36:67–71.
MLA Demirel, Berat Dilek et al. “Complications of Meckel’s Diverticulum in Children: A 10-Years Experience”. Journal of Experimental and Clinical Medicine, vol. 36, no. 3, 2020, pp. 67-71.
Vancouver Demirel BD, Hancıoglu S, Bicakci U, Bernay F, Ariturk E. Complications of Meckel’s diverticulum in children: A 10-years experience. J. Exp. Clin. Med. 2020;36(3):67-71.