| Autor: |
He, Qiong, Zhang, Ya-li, Xiao, Bing, Jiang, Bo, Bai, Yang, Zhi, Fa-chao |
| Předmět: |
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| Zdroj: |
Surgery; Apr2013, Vol. 153 Issue 4, p549-554, 6p |
| Abstrakt: |
Background: Meckel''s diverticulum (MD) is one of the most common congenital gastrointestinal malformations. It is difficult to make a preoperative diagnosis of MD. To date, few data are available describing the diagnosis of MD by double-balloon enteroscopy (DBE) and capsule endoscopy (CE). Methods: To assess the value of DBE in the diagnosis of MD and comparatively evaluate the diagnostic yield of DBE and CE for MD. A single-center study was performed on patients with a confirmed diagnosis of MD by surgery and postoperative pathology between January 2003 and December 2011. Results: Seventy-four patients (60 males) with a mean age of 29.0 ± 14.3 years were analyzed; 33 (55.0%) were between 21 and 40 years of age. Gastrointestinal bleeding was the major finding in 86.5% of the patients who were referred for DBE or CE examination. The mean duration of symptoms was 32.3 ± 48.7 months. In the 74 patients, the diagnostic yield of DBE for MD before surgery was 86.5% (64/74), and correct diagnoses were made in the majority of cases by retrograde DBE, with a few cases by antegrade DBE. In the 26 patients undergoing CE before DBE, the overall diagnostic yield of DBE was 84.6%, significantly greater than that of CE (7.7%, P < .000, McNemar''s χ2 test). Poor agreement was found between the 2 modalities (kappa = 0.03). Conclusion: For patients who are highly suspected of having MD, DBE provides a safe, effective, and reliable means of diagnosis before surgery. [Copyright &y& Elsevier] |
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