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Article |

Incidence, Complications, and Management of Meckel's Diverticulum

Miltiadis I. Matsagas, MD; Michalis Fatouros, MD; Bassilis Koulouras, MD; Athanasios D. Giannoukas, MD
Arch Surg. 1995;130(2):143-146. doi:10.1001/archsurg.1995.01430020033003.
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Objectives:  To elucidate the incidence of Meckel's diverticulum; to determine the correlation between the histologic type of the diverticulum's mucosa and its clinical presentation; and to review our experience with Meckel's diverticulum.

Design:  Case-control study.

Setting:  University hospital in loannina, Greece.

Patients:  A total of 2074 patients undergoing an appendectomy were examined intraoperatively for Meckel's diverticulum (subgroup A1). In addition, Meckel's diverticulum was found incidentally in 15 patients who were undergoing intra-abdominal surgery (subgroup A2). An operation for a complicated Meckel diverticulum was performed in an additional 15 patients (group B).

Results:  Thirty-three (1.59%) Meckel diverticulae were found incidentally among 2074 patients in subgroup A1. A positive correlation between Meckel's diverticulum and male sex was found (P<.004), but no difference was found in sex distribution between patients in group B and subgroup A1 (P<.6744). The histologic type of the mucosa (gastric) had significant positive correlation with the clinical presentation of the diverticulum (complicated) (P<.001).

Conclusion:  Resection of the unexpected Meckel diverticulum can be performed safely with a low complication rate, regardless of the patient's age.(Arch Surg. 1995;130:143-146)


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