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2010 | 82 | 6 | 329-336
Tytuł artykułu

Surgical Treatment of Meckel's Diverticulum

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study. Assessment of own research material associated with surgical treatment of Meckel's diverticulum (MD).Material and methods. Retrospective analysis of medical records of 27 patients managed in the Department of Endocrine and General Surgery of Medical University in Łódź between 1st October 2002 and 31st December 2009 due to incidentally found during surgery and not producing symptoms MD and also operated on for its complications.Results. After excision of MD causing symptoms surgical complications possibly directly associated with the removal of MD were not observed. After prophylactic excision of MD such complications occurred in 2 patients (11.11%). Moreover, in this group we found one death after the operation, but it was not attributable to performed diverticulectomy and was caused by multiple coexisting diseases. In 3 of 14 prophylactically removed and macroscopically normal Meckel's diverticula the presence of reactive inflammation was diagnosed on histopathology.Conclusions. Excision of MD, both producing symptoms and incidentally found, is associated with the low risk of complications. After the recognition of acute appendicitis all identified Meckel's diverticula should be removed, even macroscopically normal, because they can present with the reactive inflammatory process. The method of MD excision depends on intraoperative diagnosis. The risk of MD-related complications may increase with age.
Wydawca
Rocznik
Tom
82
Numer
6
Strony
329-336
Opis fizyczny
Daty
wydano
2010-06-01
online
2010-09-15
Twórcy
  • Department of Endocrine and General Surgery, Medical University in Łódź
  • Department of Endocrine and General Surgery, Medical University in Łódź
Bibliografia
  • Yahchouchy EK, Marano AF, Etienne J-CF et al.: Meckel's Diverticulum. J Am Coll Surg 2001; 192: 658-62.
  • Mendelson KG, Bailey BM, Balint TD et al.: Meckel's Diverticulum: Review and Surgical Management. Curr Surg 2001; 58: 455-57.
  • Dumper J, Mackenzie S, Mitchell P et al.: Complications of Meckel's diverticula in adults. Can J Surg 2006; 49: 353-57.
  • Stone PA, Hofeldt MJ, Campbell JE et al.: Meckel Diverticulum: Ten-year Experience in Adults. South Med J 2004; 97: 1038-41.
  • Peoples JB, Lichtenberger EJ, Dunn MM: Incidental Meckel's diverticulectomy in adults. Surgery 1995; 118: 649-52.
  • Bani-Hani KE, Shatnawi NJ: Meckel's Diverticulum: Comparision of Incidental and Symptomatic Cases. World J Surg 2004; 28: 917-20.
  • Pinero A, Martinez-Barba E, Canteras M et al.: Surgical Management and Complications of Meckel's Diverticulum in 90 Patients. Eur J Surg 2002; 168: 8-12.
  • Johns TN P, Wheeler JR, Johns FS: Meckel's Diverticulum and Meckel's Diverticulum Disease. A Study of 154 Cases. Ann Surg 1959; 150: 241-56.
  • Groebli Y, Bertin D, Morel P: Meckel's Diverticulum in Adults: Retrospective Analysis of 119 Cases and Historical Review. Eur J Surg 2001; 167: 518-24.
  • Park JJ, Wolff BG, Tollefson M et al.: Meckel Diverticulum. The Mayo Clinic Experience With 1476 Patients (1950-2002). Ann Surg 2005; 241: 529-33.
  • Zani A, Eaton S, Rees CM et al.: Incidentally Detected Meckel Diverticulum. To Resect or Not to Resect?. Ann Surg 2008; 247: 276-81.[WoS]
  • Varcoe RL, Wong SW, Taylor CF et al.: Diverticulectomy is inadequate treatment for short Meckel's diverticulum with heterotopic mucosa. ANZ J Surg 2004; 74: 869-72.
  • DeBartolo HM Jr, van Heerden J. Meckel's Diverticulum. Ann Surg 1976; 183: 30-33.
  • Witczak A, Kondras M, Modzelewski B i wsp.: Postępowanie chirurgiczne w uchyłku Meckla. Acta Clin Morphol 2008; 11 (3): 3-6.
  • Arnold JF, Pellicane JV: Meckel's diverticulum: a ten-year experience. Am Surg 1997; 63: 354-55.
  • McKay R: High Incidence of Symptomatic Meckel's Diverticulum in Patients Less Than Fifty Years of Age: An Indication for Resection. Am Surg 2007; 73: 271-75.
  • Cullen JJ, Kelly KA, Moir CR et al.: Surgical Management of Meckel's Diverticulum. An Epidemiologic, Population-Based Study. Ann Surg 1994; 220: 564-68.
  • Ueberrueck T, Meyer L, Koch A et al.: The Significance of Meckel's Diverticulum in Appendicitis - A Retrospective Analysis of 233 Cases. World J Surg 2005; 29: 455-58.
  • Robijn J, Sebrechts E, Miserez M: Management of Incidentally Found Meckel's Diverticulum. A New Approach: Resection Based on a Risk Score. Acta Chir Belg 2006; 106: 467-70.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-010-0047-4
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