Meckel's diverticulum other diagnostic studies: Difference between revisions
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** [[Diagnosis]] | ** [[Diagnosis]] | ||
** As a guide for minimally [[Invasive (medical)|invasive]] treatment | ** As a guide for minimally [[Invasive (medical)|invasive]] treatment | ||
**Types of DBE: | *In adults, [[Double-balloon enteroscopy|DBE]] and [[Technetium-99m|Meckel’s scan]] have been found to have a comparable diagnostic accuracy. | ||
*Types of [[Double-balloon enteroscopy|DBE]]: | |||
**Prograde (per os) | |||
Use: | **Retrograde (per rectum) | ||
Confirmation of the diagnosis of Meckel's diverticulum based on suspicion from imaging studies such as CT, Meckel's scan | **Use of [[Double-balloon enteroscopy|DBE]]: | ||
Evaluation of the distal small bowel directly in patients with equivocal findings | ***Confirmation of the diagnosis of Meckel's diverticulum based on suspicion from imaging studies such as [[Computed tomography|CT]], [[Technetium-99|Meckel's scan]] | ||
Endoscopy | ***Evaluation of the distal [[Small intestine|small bowel]] directly in patients with equivocal findings | ||
Confirmation of the diagnosis by direct vision | ***[[Endoscopy]] | ||
Detection of complications: | ***Confirmation of the diagnosis by direct vision | ||
Mucosal ulceration | ***Detection of complications: | ||
Active bleeding | ****[[Mucous membrane|Mucosal]] [[Ulcer|ulceration]] | ||
****Active [[bleeding]] | |||
==== Laparoscopy and laparotomy ==== | ==== Laparoscopy and laparotomy ==== | ||
* Means by which an incidental Meckel's diverticulum is most commonly detected | * Means by which an incidental Meckel's diverticulum is most commonly detected | ||
Revision as of 22:51, 28 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]
Overview
Diagnostic studies such as colonoscopy, double-balloon enteroscopy, laproscopy, laparotomy may help in the detection of symptomatic and asymptomatic Meckel's diverticula. Screenings for bleeding disorders may be performed to rule out other sources of bleeding.
Other Diagnostic Studies
Colonoscopy
- Colonoscopy may be helpful in ruling out other sources of bleeding but is not used as an identification tool.
Double-balloon enteroscopy
- Double-balloon enteroscopy (DBE) is a potentially useful tool for:[1]
- In adults, DBE and Meckel’s scan have been found to have a comparable diagnostic accuracy.
- Types of DBE:
- Prograde (per os)
- Retrograde (per rectum)
- Use of DBE:
- Confirmation of the diagnosis of Meckel's diverticulum based on suspicion from imaging studies such as CT, Meckel's scan
- Evaluation of the distal small bowel directly in patients with equivocal findings
- Endoscopy
- Confirmation of the diagnosis by direct vision
- Detection of complications:
- Mucosal ulceration
- Active bleeding
Laparoscopy and laparotomy
- Means by which an incidental Meckel's diverticulum is most commonly detected
- May be a necessary modality to determine the source of bleeding if the results on diagnostic testing are equivocal or in case of hemodynamically unstable patients
Screenings for bleeding disorders
- It is necessary to screen for bleeding disorders to rule out other causes of GI bleeding.
References
- ↑ Qi S, Huang H, Wei D, Lv C, Yang Y (2015). "Diagnosis and minimally invasive surgical treatment of bleeding Meckel's diverticulum in children using double-balloon enteroscopy". J. Pediatr. Surg. 50 (9): 1610–2. doi:10.1016/j.jpedsurg.2015.05.002. PMID 26059237.