Meckel's diverticulum diagnostic study of choice

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]

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Overview

Technetium-99m pertechnetate radioisotope scanning or the Meckel scan is considered as the diagnostic study of choice in patients with a bleeding Meckel's diverticulum. This scan helps in the detection of the ectopic gastric mucosa within the diverticulum that leads to ulceration of the adjacent intestinal mucosa, leading to symptoms of bleeding in patients.

Diagnostic Study of Choice

Technetium-99m pertechnetate radioisotope scanning

Radionuclide scan or Technetium-99m scan in patients with Meckel's diverticulum
Source: Wikimedia commons [1]

References

  1. "File:Meckel's Diverticulum by Technetium-99m Pertechnetate Scan.jpg - Wikimedia Commons". 
  2. Spottswood SE, Pfluger T, Bartold SP, Brandon D, Burchell N, Delbeke D, Fink-Bennett DM, Hodges PK, Jolles PR, Lassmann M, Maurer AH, Seabold JE, Stabin MG, Treves ST, Vlajkovic M (2014). "SNMMI and EANM practice guideline for meckel diverticulum scintigraphy 2.0". J Nucl Med Technol. 42 (3): 163–9. PMID 24948825. doi:10.2967/jnmt.113.136242. 
  3. "Fundamentals of Pediatric Surgery - Google Books". 
  4. Martin JP, Connor PD, Charles K (2000). "Meckel's diverticulum". Am Fam Physician. 61 (4): 1037–42, 1044. PMID 10706156. 
  5. Lin S, Suhocki PV, Ludwig KA, Shetzline MA (2002). "Gastrointestinal bleeding in adult patients with Meckel's diverticulum: the role of technetium 99m pertechnetate scan". South. Med. J. 95 (11): 1338–41. PMID 12540005. 
  6. Sinha CK, Pallewatte A, Easty M, De Coppi P, Pierro A, Misra D, Biassoni L (2013). "Meckel's scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years". Pediatr. Surg. Int. 29 (5): 511–7. PMID 23417523. doi:10.1007/s00383-013-3270-3. 
  7. Rerksuppaphol S, Hutson JM, Oliver MR (2004). "Ranitidine-enhanced 99mtechnetium pertechnetate imaging in children improves the sensitivity of identifying heterotopic gastric mucosa in Meckel's diverticulum". Pediatr. Surg. Int. 20 (5): 323–5. PMID 15241619. doi:10.1007/s00383-004-1189-4. 
  8. Petrokubi RJ, Baum S, Rohrer GV (1978). "Cimetidine administration resulting in improved pertechnetate imaging of Meckel's diverticulum". Clin Nucl Med. 3 (10): 385–8. PMID 729309. 



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