ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
|
|
|
|
ORIGINAL RESEARCH ARTICLES |
Complications Of Meckel’s Diverticulum In Adults
Dr. Özgür KORKMAZ,a Dr. H. Gülşen YILMAZ,a Dr. Celalettin KELEŞa
aGenel Cerrahi ABD, Dicle Üniversitesi Tıp Fakültesi, DİYARBAKIR
Objective: Meckel’s diverticulum is the most common congenital anomaly of the small intestine, with an estimated incidence of approximately 1-3% in the general population. We present our experience over the past 20 years with this condition, unusual in the adult population.
Material and Methods: From 1986 to 2006 at the Dicle University, Medical Faculty, General Surgery Department, Meckel’s diverticulum were removed from 30 patients older than 16 years of age. We reviewed the age, sex, indication for removal, diagnosis techniques, pathological findings, postoperative complications, and hospitalization periods in those cases.
Results: Fourteen of the patients were male and 16 were women. The mean age was 29.7 ± 12.2 years. The complications of the Meckel’s diverticulitis were diverticulitis in 16 patients (53.3%), intestinal obstruction in 13 patients (43.3%), and lower gastrointestinal bleeding in 1 case (3.3%). The mean diverticle length was 2.98 ± 0.7 cm. In 19 cases Wedge resection-primary suturing was performed. Eleven cases underwent intestinal resection; anastomosis was performed in 10 of them, whereas in a case colostomy was created. One case presented with ectopic gastric mucosa. General morbidity rate was 16.7% and the mortality rate was 3.3%.
Conclusion: The complication rates for Meckel’s diverticulum were comparable for both genders in this study, although data from other reports suggest the reverse. Furthermore, the rate of lower gastrointestinal tract bleeding was also lower than in the literature. Since prompt diagnosis before the operation is difficult and decision for surgery is delayed serious problems may be encountered. Although Meckel’s diverticulum is a rare condition, it should be considered in the diagnosis of patients presenting with ileus, acute abdomen or lower gastrointestinal tract bleeding. Thus, early diagnosis and treatment may prevent the development of postoperative complications.Keywords: Meckel diverticulum; complications; adultTurkiye Klinikleri J Med Sci 2007, 27:518-521
|
|
|
|
|
