Meckel's diverticulum

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 res…

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 …

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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

[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]

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]