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Complications and Management of Meckel's Diverticulum: A Review
- Source :
- The European Journal of Surgery. 165:674-678
- Publication Year :
- 1999
- Publisher :
- Oxford University Press (OUP), 1999.
-
Abstract
- 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.
- Subjects :
- Adult
Male
congenital, hereditary, and neonatal diseases and abnormalities
medicine.medical_specialty
Adolescent
digestive system
Asymptomatic
Teaching hospital
medicine
Humans
Diverticulum (mollusc)
Child
Surgical treatment
Aged
Retrospective Studies
Meckel's diverticulum
business.industry
Outcome measures
Infant
Retrospective cohort study
Middle Aged
medicine.disease
digestive system diseases
Surgery
Meckel Diverticulum
Child, Preschool
Adenocarcinoma
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 11024151
- Volume :
- 165
- Database :
- OpenAIRE
- Journal :
- The European Journal of Surgery
- Accession number :
- edsair.doi.dedup.....998427733c063b18713263747b4b026e