Meckel's diverticulum: analysis of 27 cases in an adult population
BackgroundMeckel's diverticulum is a rare congenital pathology among newborns. Nevertheless, it is an uncommon abdominal pathology in the adult population. Therefore, we aim to provide a detailed account of our surgical approach in treating 27 cases of Meckel's diverticulum.MethodsThis stu...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1327545/full |
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| author | Juan David Hernández Juan David Hernández Gustavo Valencia Felipe Girón Felipe Girón Andrés Mauricio García Sierra Andrés Mauricio García Sierra Ricardo E. Núñez-Rocha Lina M. Rodríguez Carlos Eduardo Rey Chaves Eduardo Emilio Londoño Eduardo Emilio Londoño Ricardo Nassar Ricardo Nassar |
| author_facet | Juan David Hernández Juan David Hernández Gustavo Valencia Felipe Girón Felipe Girón Andrés Mauricio García Sierra Andrés Mauricio García Sierra Ricardo E. Núñez-Rocha Lina M. Rodríguez Carlos Eduardo Rey Chaves Eduardo Emilio Londoño Eduardo Emilio Londoño Ricardo Nassar Ricardo Nassar |
| author_sort | Juan David Hernández |
| collection | DOAJ |
| description | BackgroundMeckel's diverticulum is a rare congenital pathology among newborns. Nevertheless, it is an uncommon abdominal pathology in the adult population. Therefore, we aim to provide a detailed account of our surgical approach in treating 27 cases of Meckel's diverticulum.MethodsThis study is a cross-sectional analysis that utilized a database with prospectively collected data from 2004 to 2022. All patients under the age of 18 were excluded from the population. We described the population’s demographic characteristics, symptoms, anatomopathological study, surgical technique, complications, morbidity, and mortality. A subgroup analysis was performed between the symptomatic and asymptomatic patients.ResultsA total of 27 patients who underwent surgical resection for a posteriorly diagnosed Meckel's diverticulum were included. The male population accounted for 81.4% (n = 22) of the sample size. The symptomatic group consisted of 18 male and four female patients. Abdominal pain was the predominant symptom in 85% of the patients. Out of the 22 symptomatic patients, only 9% had a positive perioperative diagnosis of Meckel's diverticulum. All 27 patients with diverticulum diagnosis received the resection through diverticulectomy (n = 6), small bowel resection with end-to-end anastomosis (n = 6), and small bowel resection with lateral to lateral anastomosis (n = 15). The mean distance between the diverticulum and the ileocecal valve was 63.4 cm. The symptomatic group had an average diverticulum length of 3.54 cm, with an average base width of 2.47 cm. In the other group, the values were 2.75 and 1.61 cm. The average length of hospital stay in the symptomatic group was 7.3 days.ConclusionsMeckel's diverticulum is a rare pathology in the adult population. Its presentation varies from asymptomatic to symptomatic patients, and surgery is the cornerstone treatment for this pathology. |
| first_indexed | 2024-03-08T22:29:23Z |
| format | Article |
| id | doaj.art-67c61c94b085400785fc56e2bede7df4 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-03-08T22:29:23Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-67c61c94b085400785fc56e2bede7df42023-12-18T06:41:53ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-12-011010.3389/fsurg.2023.13275451327545Meckel's diverticulum: analysis of 27 cases in an adult populationJuan David Hernández0Juan David Hernández1Gustavo Valencia2Felipe Girón3Felipe Girón4Andrés Mauricio García Sierra5Andrés Mauricio García Sierra6Ricardo E. Núñez-Rocha7Lina M. Rodríguez8Carlos Eduardo Rey Chaves9Eduardo Emilio Londoño10Eduardo Emilio Londoño11Ricardo Nassar12Ricardo Nassar13Department of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, ColombiaSchool of Medicine, Universidad de los Andes, Bogotá, ColombiaDepartment of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, ColombiaDepartment of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, ColombiaSchool of Medicine, Universidad de los Andes, Bogotá, ColombiaSchool of Medicine, Universidad de los Andes, Bogotá, ColombiaSchool of Global Health Management and Informatics, University of Central Florida, Orlando, FL, United StatesSchool of Medicine, Universidad de los Andes, Bogotá, ColombiaSchool of Medicine, Universidad de los Andes, Bogotá, ColombiaEstudiante de posgrado Cirugía General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogotá, ColombiaDepartment of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, ColombiaSchool of Medicine, Universidad de los Andes, Bogotá, ColombiaDepartment of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, ColombiaSchool of Medicine, Universidad de los Andes, Bogotá, ColombiaBackgroundMeckel's diverticulum is a rare congenital pathology among newborns. Nevertheless, it is an uncommon abdominal pathology in the adult population. Therefore, we aim to provide a detailed account of our surgical approach in treating 27 cases of Meckel's diverticulum.MethodsThis study is a cross-sectional analysis that utilized a database with prospectively collected data from 2004 to 2022. All patients under the age of 18 were excluded from the population. We described the population’s demographic characteristics, symptoms, anatomopathological study, surgical technique, complications, morbidity, and mortality. A subgroup analysis was performed between the symptomatic and asymptomatic patients.ResultsA total of 27 patients who underwent surgical resection for a posteriorly diagnosed Meckel's diverticulum were included. The male population accounted for 81.4% (n = 22) of the sample size. The symptomatic group consisted of 18 male and four female patients. Abdominal pain was the predominant symptom in 85% of the patients. Out of the 22 symptomatic patients, only 9% had a positive perioperative diagnosis of Meckel's diverticulum. All 27 patients with diverticulum diagnosis received the resection through diverticulectomy (n = 6), small bowel resection with end-to-end anastomosis (n = 6), and small bowel resection with lateral to lateral anastomosis (n = 15). The mean distance between the diverticulum and the ileocecal valve was 63.4 cm. The symptomatic group had an average diverticulum length of 3.54 cm, with an average base width of 2.47 cm. In the other group, the values were 2.75 and 1.61 cm. The average length of hospital stay in the symptomatic group was 7.3 days.ConclusionsMeckel's diverticulum is a rare pathology in the adult population. Its presentation varies from asymptomatic to symptomatic patients, and surgery is the cornerstone treatment for this pathology.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1327545/fullMeckel's diverticulumsurgerylaparoscopydiagnosisLatin America |
| spellingShingle | Juan David Hernández Juan David Hernández Gustavo Valencia Felipe Girón Felipe Girón Andrés Mauricio García Sierra Andrés Mauricio García Sierra Ricardo E. Núñez-Rocha Lina M. Rodríguez Carlos Eduardo Rey Chaves Eduardo Emilio Londoño Eduardo Emilio Londoño Ricardo Nassar Ricardo Nassar Meckel's diverticulum: analysis of 27 cases in an adult population Frontiers in Surgery Meckel's diverticulum surgery laparoscopy diagnosis Latin America |
| title | Meckel's diverticulum: analysis of 27 cases in an adult population |
| title_full | Meckel's diverticulum: analysis of 27 cases in an adult population |
| title_fullStr | Meckel's diverticulum: analysis of 27 cases in an adult population |
| title_full_unstemmed | Meckel's diverticulum: analysis of 27 cases in an adult population |
| title_short | Meckel's diverticulum: analysis of 27 cases in an adult population |
| title_sort | meckel s diverticulum analysis of 27 cases in an adult population |
| topic | Meckel's diverticulum surgery laparoscopy diagnosis Latin America |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1327545/full |
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