Meckel's diverticulum surgery

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


Surgery is the primary treatment modality in patients with Meckel's diverticula. Asymptomatic patients are treated in the presence of features such as narrow diverticular mouth, fibrous bands, ectopic gastric tissue, diverticular length >2cm, stasis, narrow neck, intramural pathology, thickening and inflammation of the diverticulum. On the other hand, absolute indications for resection of a symptomatic Meckel's diverticulum include complications such as hemorrhage, umbilico ileal fistulas, diverticulitis and bowel obstructionFibrous band division, diverticulectomy, segmental resection of the diverticulum with end-to-end intestinal anastomosis and wedge resection are the various surgical procedures performed, whenever indicated.


Asymptomatic Meckel’s diverticulum

Symptomatic Meckel diverticulum


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  7. Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton LJ (1994). "Surgical management of Meckel's diverticulum. An epidemiologic, population-based study". Ann. Surg. 220 (4): 564–8, discussion 568–9. PMC 1234434. PMID 7944666.
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  9. McKay R (2007). "High incidence of symptomatic Meckel's diverticulum in patients less than fifty years of age: an indication for resection". Am Surg. 73 (3): 271–5. PMID 17375785.
  10. Hosn MA, Lakis M, Faraj W, Khoury G, Diba S (2014). "Laparoscopic approach to symptomatic meckel diverticulum in adults". JSLS. 18 (4). doi:10.4293/JSLS.2014.00349. PMC 4254485. PMID 25489221.
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  12. Ruscher KA, Fisher JN, Hughes CD, Neff S, Lerer TJ, Hight DW, Bourque MD, Campbell BT (2011). "National trends in the surgical management of Meckel's diverticulum". J. Pediatr. Surg. 46 (5): 893–6. doi:10.1016/j.jpedsurg.2011.02.024. PMID 21616248.
  13. Chan KW, Lee KH, Mou JW, Cheung ST, Tam YH (2008). "Laparoscopic management of complicated Meckel's diverticulum in children: a 10-year review". Surg Endosc. 22 (6): 1509–12. doi:10.1007/s00464-008-9832-0. PMID 18322735.

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