儿科梅克尔憩室:来自印度东部三级医疗中心的经验

Q4 Medicine
Debashree Priyadarshini, O.Y. Pavan K Reddy, Rachita Sarangi, Antaryami Pradhan
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引用次数: 0

摘要

背景。梅克尔憩室(MD)是最常见的胃肠道先天性异常,在儿童年龄组有不同的临床表现。出现症状时可出现危及生命的并发症。然而,很少有来自东印度的研究报告。在本研究中,我们旨在分析儿童梅克尔憩室的人口学特征、临床表现、相关特征、实验室和组织病理学特征、各种诊断方式和治疗方法。结果:18例患儿被诊断为梅克尔憩室。5岁以下儿童占大多数病例,近50%在2岁之前出现。在研究中,男性占主导地位,男女比例为4:1。表现通常是急性的,下消化道出血是我们研究中最常见的症状。开腹憩室切除术是最常见的手术方式。2例在回肠远端肠系膜表面发现MD。同步结肠内腔内镜(上消化道内镜)结肠镜检查),随后进行腹腔镜手术,在一个单一的设置在两个活跃出血病例阴性梅克尔扫描。随访无死亡,无并发症发生。结论。MD有急性表现,下消化道出血是最常见的表现症状。它可以在回肠远端肠系膜表面发现。开放性憩室切除术是有症状患者的首选治疗方法。手术切除偶然发现的MD与不良后果无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pediatric Meckel’s diverticulum: Experience from a tertiary center in Eastern India
Background. Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract, having a varied clinical presentation in the pediatric age group. It can manifest with life-threatening complications when symptomatic. However, very few studies have been reported from Eastern India. In this study, we aim to analyze the demographics, clinical presentation, associated characteristics, laboratory and histopathological features, various modalities of diagnosis, and treatment for pediatric Meckel’s diverticulum. Results. 18 children were diagnosed with Meckel’s diverticulum. Children below five years of age accounted for the majority of cases, with almost 50% presenting before age two. A male predominance was seen in the study with a male-to-female ratio of 4:1. The presentation was usually acute with lower gastrointestinal bleeding being the most common symptom in our study. Open diverticulectomy was the most common surgical procedure performed. MD was found on the mesenteric surface of the distal ileum in two cases. Simultaneous endo colon (upper GI endoscopy & colonoscopy) followed by laparoscopic surgery was done in a single setup in two actively bleeding cases with negative Meckel’s scan. There was no mortality, and no complications were noted on follow-up. Conclusion. MD had an acute presentation with lower GI bleeding being the commonest presenting symptom. It can be found on the mesenteric surface of the distal ileum. Open diverticulectomy was the treatment of choice for symptomatic patients. Surgical removal of incidentally detected MD was not associated with adverse outcomes.
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CiteScore
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