Meckel's diverticulum other diagnostic studies

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

Overview

Diagnostic studies such as colonoscopy, double-balloon enteroscopy, laparoscopy, and exploratory laparotomy may help in the detection of symptomatic and asymptomatic Meckel's diverticula. Screenings for bleeding disorders may be performed to rule out other sources of bleeding.

Other Diagnostic Studies

Colonoscopy

  • Colonoscopy may be helpful in ruling out other sources of bleeding but is not used as an diagnostic tool.

Double-balloon enteroscopy

Wireless capsule endoscopy

Laparoscopy and laparotomy

  • Means by which an incidental Meckel's diverticulum is most commonly detected.
  • May be a necessary modality to determine the source of bleeding if the results on diagnostic testing are equivocal or in case of hemodynamically unstable patients.

Screenings for bleeding disorders

References

  1. Qi S, Huang H, Wei D, Lv C, Yang Y (2015). "Diagnosis and minimally invasive surgical treatment of bleeding Meckel's diverticulum in children using double-balloon enteroscopy". J. Pediatr. Surg. 50 (9): 1610–2. PMID 26059237. doi:10.1016/j.jpedsurg.2015.05.002. 
  2. 2.0 2.1 He Q, Zhang YL, Xiao B, Jiang B, Bai Y, Zhi FC (2013). "Double-balloon enteroscopy for diagnosis of Meckel's diverticulum: comparison with operative findings and capsule endoscopy". Surgery. 153 (4): 549–54. PMID 23305600. doi:10.1016/j.surg.2012.09.012. 
  3. Fukushima M, Kawanami C, Inoue S, Okada A, Imai Y, Inokuma T (2014). "A case series of Meckel's diverticulum: usefulness of double-balloon enteroscopy for diagnosis". BMC Gastroenterol. 14: 155. PMC 4155089Freely accessible. PMID 25175823. doi:10.1186/1471-230X-14-155. 
  4. Konomatsu K, Kuwai T, Yamaguchi T, Imagawa H, Yamaguchi A, Kouno H, Kohno H (2017). "Endoscopic full-thickness resection for inverted Meckel's diverticulum using double-balloon enteroscopy". Endoscopy. 49 (S 01): E66–E67. PMID 28135732. doi:10.1055/s-0042-121008. 
  5. 5.0 5.1 Geng LL, Chen PY, Wu Q, Li HW, Li DY, Yang M, Gong ST (2017). "Bleeding Meckel's Diverticulum in Children: The Diagnostic Value of Double-Balloon Enteroscopy". Gastroenterol Res Pract. 2017: 7940851. PMC 5381199Freely accessible. PMID 28421109. doi:10.1155/2017/7940851. 
  6. Manner H, May A, Nachbar L, Ell C (2006). "Push-and-pull enteroscopy using the double-balloon technique (double-balloon enteroscopy) for the diagnosis of Meckel's diverticulum in adult patients with GI bleeding of obscure origin". Am. J. Gastroenterol. 101 (5): 1152–4. PMID 16573771. doi:10.1111/j.1572-0241.2006.00558.x. 
  7. Kawasaki Y, Shinozaki S, Yano T, Oshiro K, Morimoto M, Kawarai Lefor A, Yamamoto H (2017). "Intussusception due to an Inverted Meckel's Diverticulum Diagnosed by Double-Balloon Enteroscopy". Case Rep Gastroenterol. 11 (3): 632–636. PMC 5731178Freely accessible. PMID 29282383. doi:10.1159/000481161. 
  8. Al-Shankiti S, Halloran B, D'Urbano D, Zepeda-Gómez S (2016). "Inverted Meckel's Diverticulum with Intussusception and Ulceration Diagnosed after Rectal Double-Balloon Enteroscopy". ACG Case Rep J. 3 (4): e171. PMC 5171934Freely accessible. PMID 28008404. doi:10.14309/crj.2016.144. 
  9. Gomes GF, Bonin EA, Noda RW, Cavazzola LT, Bartholomei TF (2016). "Balloon-assisted enteroscopy for suspected Meckel's diverticulum and indefinite diagnostic imaging workup". World J Gastrointest Endosc. 8 (18): 679–683. PMC 5067476Freely accessible. PMID 27803776. doi:10.4253/wjge.v8.i18.679. 
  10. Krstic SN, Martinov JB, Sokic-Milutinovic AD, Milosavljevic TN, Krstic MN (2016). "Capsule endoscopy is useful diagnostic tool for diagnosing Meckel's diverticulum". Eur J Gastroenterol Hepatol. 28 (6): 702–7. PMID 26854797. doi:10.1097/MEG.0000000000000603. 
  11. Desai SS, Alkhouri R, Baker SS (2012). "Identification of meckel diverticulum by capsule endoscopy". J. Pediatr. Gastroenterol. Nutr. 54 (2): 161. PMID 22008954. doi:10.1097/MPG.0b013e3182349a1c. 
  12. Juanmartiñena Fernández JF, Fernández-Urién Sainz I, Saldaña Dueñas C, Iglesias Picazo R (2017). "Meckel´s diverticulum bleeding detected by capsule endoscopy". Rev Esp Enferm Dig. 109 (4): 295–296. PMID 28372457. 

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