Surgical management and complications of Meckel's diverticulum in 90 patients

• Published in: The European journal of surgery Vol. 168; no. 1; pp. 8 - 12
• Main Authors: Piñero, A., Martínez-Barba, E., Canteras, M., Rodriguez, J. M., Castellanos, G., Parrilla, P.
• Format: Journal Article
• Language: English
• Published: UK Taylor & Francis, Ltd 01.01.2002; Taylor & Francis
• Subjects: Adult; Biological and medical sciences; Choristoma - diagnosis; ectopic gastric mucosa; Female; Gastric Mucosa; Helicobacter Infections - diagnosis; Helicobacter pylori; Humans; Ileal Diseases - diagnosis; Male; Meckel Diverticulum - complications; Meckel Diverticulum - surgery; Medical sciences; morbidity; Postoperative Complications - epidemiology; Retrospective Studies; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; surgical complications; Human; Spirillales; Spirillaceae; Meckel diverticulum; Congenital disease; Epidemiology; Incidence; Infection; Histopathology; Helicobacter pylori; Malformation; Surgery; Bacteriosis; Digestive diseases; Bacteria; Intestinal disease; Complication
• ISSN: 1102-4151; 1741-9271
• DOI: 10.1080/110241502317307508

Objetive: To review controversial aspects of the pathology, management, and complications of Meckel's diverticula. Design: Retrospective study. Setting: University hospital, Spain. Subjects: 90 patients who had Meckel's diverticula during the 32 year period April 1968‐May 2000. Main outcome measures: Epidemiological and histopathological findings (including a search for Helicobacter pylori); surgical management and morbidity. Results: There were no differences in sex between patients with asymptomatic and symptomatic disease, although we did find differences in age. Signs of abnormalities on scintigraphy were associated with the presence of ectopic fundal mucosa, although not significantly so. No signs of Helicobacter pylori were found in any of our patients. Morbidity after intestinal resection was higher than after diverticulectomy. Conclusions: Meckel's diverticulum should be suspected particularly when there are symptoms of obstruction or gastrointestinal bleeding in children. The presence of both ectopic gastric mucosa and ulcers is related to the symptoms and we found no H. pylori in any of the cases. Copyright © 2002 Taylor and Francis Ltd.