Meckel's diverticulum Latest Topics

Management of incidental Meckel's diverticulum

Tue, 21 Jan 2025 07:50:53 +0000

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"Park et al., found that certain characteristics may be predictive for the development of complications and recommended diverticulectomy of incidental diverticula that meet any of the following four criteria: (1) male sex, (2) age less than 50 years, (3) diverticular length greater than 2 cm, and (4) abnormal features of the diverticula such as thickened tissue or a palpable mass [14]. Other studies have also recommended prophylactic resection if there is a narrow diverticular base [30]. At this time, most pediatric surgeons will perform a resection of an incidentally identified MD if it does not significantly increase the risk of the primary procedure."

Meckel’s diverticulum excision techniques

Tue, 21 Jan 2025 08:53:42 +0000

Quotes from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"A segmental resection of the diverticulum and adjacent ileum should be performed if the patient is presenting with bleeding to ensure removal of all ectopic mucosa and the bleeding ileal ulcer"

"In the case of an incidentally found MD or if the patient is not presenting with bleeding or perforation, then a diverticulectomy may be performed by either a wedge resection (Fig. 31.4) with a hand-sewn anastomosis or a tangential diverticulectomy using a stapler (Fig. 31.5), taking care not to narrow the lumen."

"Although the majority of the ectopic mucosa is found at the tip of the diverticulum, there is the risk of potentially leaving remnant ectopic mucosa behind in the ileum when a tangential stapled resection is performed [35, 36]. This technique of MD resection is especially discouraged in patients presenting with bleeding or perforation and, therefore, a segmental resection of the MD and 2–3 cm of ileum to each side is frequently recommended"

Meckel’s diverticulum laparoscopic assisted resection lecture

Sun, 23 May 2021 09:54:16 +0000

see video link in second post

Laparoscopic Surgery for Meckel's diverticulum

Sat, 07 Aug 2021 15:34:02 +0000

see video link in second post

Meckel Diverticulum

Mon, 15 Mar 2021 08:05:34 +0000

see in next post

Meckel Diverticulum

Sun, 01 Nov 2020 04:15:45 +0000

Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message

Edit: available without restrictions

Meckel diverticulum

Fri, 27 Nov 2020 07:28:22 +0000

[size=20px]A three-year old boy presents with painless and episodic bright red blood per rectum. After adequate resuscitation, a technetium-99m pertechnetate scan demonstrates uptake in the right lower quadrant. Diagnostic laparoscopy shows a three cm diverticulum with a 1.3 cm base with thickening at the tip. Compared to segmental resection, simple Meckel diverticulectomy is associated with

A increased risk of bleeding.

B increased stricture rate.

C longer hospital stay.

D shorter operative time.

E increased leak rate.[/size]

Meckel diverticulum neoplasms

Fri, 30 Oct 2020 03:43:35 +0000

First one with correct answer with justification win.

[size=20px]During a laparoscopic operation a 12-year-old boy is noted to have a Meckel diverticulum. A potential argument to resect an asymptomatic Meckel diverticulum would be the small, but real risk of developing malignancy within the lesion. What is the most common type of neoplasm to develop in a Meckel diverticulum?

A Adenocarcinoma

B Carcinoid

C Gastrointestinal stromal tumor (GIST)

D Leiomyosarcoma

E Lymphoma[/size]