Single-balloon Enteroscopy for Diagnosis of Meckel Diverticulum in Adults
10.3969/j.issn.1008-7125.2019.08.003
- VernacularTitle: 单气囊小肠镜对成人Meckel憩室的诊断价值
- Author:
Shuai GONG
1
Author Information
1. Division of Gastroenterology and Hepatology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai Institute of Digestive Disease
- Publication Type:Journal Article
- Keywords:
Diagnosis;
Meckel Diverticulum;
Single-Balloon Enteroscopy
- From:
Chinese Journal of Gastroenterology
2019;24(8):460-464
- CountryChina
- Language:Chinese
-
Abstract:
Background: Meckel diverticulum is one of the most common congenital malformations of the gastrointestinal tract. It is relatively rare in adults and is difficult to make a preoperative diagnosis. Aims: To analyze the clinical characteristics of Meckel diverticulum in adults and to investigate the diagnostic value of single-balloon enteroscopy for adult Meckel diverticulum. Methods: A retrospective study was performed in patients diagnosed as adult Meckel diverticulum by single-balloon enteroscopy at Renji Hospital, School of Medicine, Shanghai Jiao Tong University from Apr. 2011 to Jan. 2019. Results: A total of 30 adult Meckel diverticulum patients were enrolled. Of them, 26 were male and 4 were female with a mean age of (36.1±14.6) years. The mean duration of symptoms ranged from 6 days to 30 years. The prevalence of gastrointestinal bleeding, abdominal pain/diarrhea, and anemia was 73.3% (22/30), 40.0% (12/30), and 50.0% (15/30), respectively. All the diverticula were detected by retrograde single-balloon enteroscopy. The mean distance of diverticulum from the ileocecal valve was (98.7±29.5) cm, and the size of diverticulum opening was 3.25 cm on average. Ulcer was found in 11 cases. Sixteen cases underwent surgical resection, and 12.5% and 18.8% of them were proved to contain ectopic gastric mucosa and ectopic pancreas, respectively. The diagnostic yield of capsule endoscopy and imaging modalities were relatively low (39.1% and 20.7%, respectively). Conclusions: Single-balloon enteroscopy has a high diagnostic value for Meckel diverticulum in adults and may provide guidance for clinical treatment. For adults suspected of Meckel diverticulum, retrograde single-balloon enteroscopy is recommended.
