Laparoscopic management of Meckel's diverticulum in children
Section snippets
Patients and methods
The clinical data of 33 children admitted with rectal bleeding and/or recurrent abdominal pain, nausea, vomiting, and abdominal distension were reviewed over a period of 8 years (between December 1996 and May 2003). All patients were subjected to clinical examinations and routine laboratory investigations. Seven patients with rectal bleeding were subjected to upper gastrointestinal endoscopy, colonoscopy, and MS. All patients were subjected to diagnostic laparoscopy (DL) irrespective of the
Results
The clinical data of 33 cases with rectal bleeding and/or recurrent abdominal pain, nausea, and vomiting were reviewed. There were 23 males and 10 females with a mean age of 5.12 ± 2 years (range, 3-12 years). There was no significant difference in demographic data of symptomatic and incidental MDs. Table 1 summarizes the patients' demographic, clinical, and histological data. The outcome measurements for the study are presented in (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5). Of 1200 LAs,
Statistical analysis
The data were analyzed using Systac 9.0 software (SPSS Inc, Chicago, Ill). Proportions and percentages were used to summarize categorical variables, whereas descriptive statistics such as means and SDs were used for numerical variables.
Discussion
Meckel's diverticulum is the most common congenital malformation of the gastrointestinal tract, occurring in up to 2% to 4% of the population. It results from failure of complete obliteration of vitelline duct. Only 4% of MDs are symptomatic and most cases are asymptomatic and discovered incidentally [8], [9]. A high index of suspicion is necessary for the prompt diagnosis and treatment. The diagnostic modalities including MS are effective in only 60% to 70% of all cases [10]. A positive
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Multifaceted behavior of Meckel's diverticulum in children
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Meckel's diverticulum: A holistic view and recent advances in managing children and adolescent patients
2023, Chronic Disease and Disability: The Pediatric Gastrointestinal Tract, Second Edition. Medical and Surgical Perspectives including Infection and Pain