Archives of surgery (Chicago, Ill. : 1960) · 1995
Incidence, complications, and management of Meckel's diverticulum.
СтатьяНазвание и аннотация: Перевод в очереди
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Matsagas M I, Fatouros M, Koulouras B, Giannoukas A D
Аннотация
OBJECTIVES: To elucidate the incidence of Meckel's diverticulum; to determine the correlation between the histologic type of the diverticulum's mucosa and its clinical presentation; and to review our experience with Meckel's diverticulum.
DESIGN: Case-control study.
SETTING: University hospital in Ioannina, Greece.
PATIENTS: A total of 2074 patients undergoing an appendectomy were examined intraoperatively for Meckel's diverticulum (subgroup A1). In addition, Meckel's diverticulum was found incidentally in 15 patients who were undergoing intra-abdominal surgery (subgroup A2). An operation for a complicated Meckel diverticulum was performed in an additional 15 patients (group B).
RESULTS: Thirty-three (1.59%) Meckel diverticulae were found incidentally among 2074 patients in subgroup A1. A positive correlation between Meckel's diverticulum and male sex was found (P < .004), but no difference was found in sex distribution between patients in group B and subgroup A1 (P < .6744). The histologic type of the mucosa (gastric) had significant positive correlation with the clinical presentation of the diverticulum (complicated) (P < .001).
CONCLUSION: Resection of the unexpected Meckel diverticulum can be performed safely with a low complication rate, regardless of the patient's age.
DESIGN: Case-control study.
SETTING: University hospital in Ioannina, Greece.
PATIENTS: A total of 2074 patients undergoing an appendectomy were examined intraoperatively for Meckel's diverticulum (subgroup A1). In addition, Meckel's diverticulum was found incidentally in 15 patients who were undergoing intra-abdominal surgery (subgroup A2). An operation for a complicated Meckel diverticulum was performed in an additional 15 patients (group B).
RESULTS: Thirty-three (1.59%) Meckel diverticulae were found incidentally among 2074 patients in subgroup A1. A positive correlation between Meckel's diverticulum and male sex was found (P < .004), but no difference was found in sex distribution between patients in group B and subgroup A1 (P < .6744). The histologic type of the mucosa (gastric) had significant positive correlation with the clinical presentation of the diverticulum (complicated) (P < .001).
CONCLUSION: Resection of the unexpected Meckel diverticulum can be performed safely with a low complication rate, regardless of the patient's age.