Complications and management of Meckel's diverticulum - a review

Objective: To review the anatomy, symptomatology, diagnosis, complications and management of symptomatic and asymptomatic Meckel's diverticula. Design: Retrospective study. Setting: Teaching hospital, The Netherlands. Subjects: 27 consecutive patients who underwent resection of a Meckel's...

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Bibliographic Details
Published in:The European journal of surgery 1999-07, Vol.165 (7), p.674-678
Main Authors: Fa-Si-Oen, Patrick R., Roumen, Rudi M. H., Croiset van Uchelen, Fred A. A. M.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Child
Child, Preschool
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Infant
Male
Malformations
Meckel Diverticulum - complications
Meckel Diverticulum - diagnosis
Meckel Diverticulum - pathology
Meckel Diverticulum - surgery
Medical sciences
Middle Aged
Retrospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Summary:Objective: To review the anatomy, symptomatology, diagnosis, complications and management of symptomatic and asymptomatic Meckel's diverticula. Design: Retrospective study. Setting: Teaching hospital, The Netherlands. Subjects: 27 consecutive patients who underwent resection of a Meckel's diverticulum during the 16 year period 1 January 1981–31 August 1997. Main outcome measures: The symptomatology and histopathological findings. Results: 15 patients had symptoms and 12 did not. Haemorrhage and inflammation were the most common presenting symptoms. All histopathological signs of inflammation were found in those with symptomatic diverticula. Resected asymptomatic Meckel's diverticula were abnormal in only two occasions: one contained an adenocarcinoma and one a faecolith. Conclusion: All symptomatic Meckel's diverticula should be resected. The surgical treatment of asymptomatic Meckel's diverticula is still controversial. Copyright © 1999 Taylor and Francis Ltd.
ISSN:1102-4151
1741-9271
DOI:10.1080/11024159950189735