Meckel's diverticulum other diagnostic studies
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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][2][2][3][4][5]
- 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
Wireless capsule endoscopy
- May display normal, bleeding, ulcerated and inverted Meckel's diverticulum[6]
- May be use to detect cause of gastrointestinal bleeding of uncertain origin
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.
- ↑ 2.0 2.1 He Q, Zhang YL, Xiao B, Jiang B, Bai Y, Zhi FC (2013). "Double-balloon enteroscopy for diagnosis of Meckel's diverticulum: comparison with operative findings and capsule endoscopy". Surgery. 153 (4): 549–54. doi:10.1016/j.surg.2012.09.012. PMID 23305600.
- ↑ Fukushima M, Kawanami C, Inoue S, Okada A, Imai Y, Inokuma T (2014). "A case series of Meckel's diverticulum: usefulness of double-balloon enteroscopy for diagnosis". BMC Gastroenterol. 14: 155. doi:10.1186/1471-230X-14-155. PMC 4155089. PMID 25175823.
- ↑ Konomatsu K, Kuwai T, Yamaguchi T, Imagawa H, Yamaguchi A, Kouno H, Kohno H (2017). "Endoscopic full-thickness resection for inverted Meckel's diverticulum using double-balloon enteroscopy". Endoscopy. 49 (S 01): E66–E67. doi:10.1055/s-0042-121008. PMID 28135732.
- ↑ Geng LL, Chen PY, Wu Q, Li HW, Li DY, Yang M, Gong ST (2017). "Bleeding Meckel's Diverticulum in Children: The Diagnostic Value of Double-Balloon Enteroscopy". Gastroenterol Res Pract. 2017: 7940851. doi:10.1155/2017/7940851. PMC 5381199. PMID 28421109.
- ↑ Krstic SN, Martinov JB, Sokic-Milutinovic AD, Milosavljevic TN, Krstic MN (2016). "Capsule endoscopy is useful diagnostic tool for diagnosing Meckel's diverticulum". Eur J Gastroenterol Hepatol. 28 (6): 702–7. doi:10.1097/MEG.0000000000000603. PMID 26854797.