PRESENTATIONS OF MECKEL’S DIVERTICULUM AT KHYBER TEACHING HOSPITAL PESHAWAR

Authors

  • Inayat ur Rehman
  • Tariq Burki
  • Said Alam
  • Fazl e Rahman

Abstract

Background: This study was conducted with an objective to observe various presentations of Meckel’s Diverticulum in our setting and compare it with other national and international studies. Methods: It was a retrospective analysis of hospital record carried out at the department of paediatric surgery Khyber Teaching Hospital, Peshawar. A total of 63 patients meeting the inclusion criteria were included in the study who had presented to our unit with signs and symptoms of Meckel’s Diverticulum and who were diagnosed either by investigations or at surgery. All the patients were explored and resection and anastomosis performed. We did not do H. Pylori culture. Patients with bleeding per rectum were investigated by Meckel’s scan. Analysis of the results was done by SPSS version 10. Results: Majority of our patients presented with obstruction (82.5%) in contrast to the Western studies (around 40%) while only 4.7% presented with bleeding per rectum again in contrast to the Western countries (38–56%). Conclusion: There appears to be a geographical and/or racial difference in the presentation of Meckel’s diverticulum.

References

Mann CV, Russell RCG, Williams NS. Small and large intestine. In Bailey and Love’s Short Practice of Surgery 22nd ed 1995. Chapmann and Hall. Madrid. P 787.

Firdous A, Akhtar I, Zia N, Shehzad K. Bleeding Per Rectum in Children. J Rawal Med Coll 2000;4(1-2):50-3.

Rasool N, Hussain I, Akhtar J, Ahmed S, Aziz A. Various presentations of Omphalomesenteric Duct remnants in children.J Coll Physicians Surg Pak 2002;12(4):204-7.

Huang FC, Ko SF, Lee SY. Meckel's diverticulum mimicking infantile colic: sonographic detection. J Clin Ultrasound 2000;28(6):314-6.

James GK, Berean KW, Nagy AG, Owen DA. Inverted Meckel's diverticulum: an entity simulating an ileal polyp. Am J Gastroenterol 1998;93(9):1554-5.

Anand AC, Patnaik PK, Bhalla VP, Chaudhary R, Saha A, Rana VS. Massive lower intestinal bleeding—a decade of experience. Trop Gastroenterol 2001;22(3):131-4.

Row MI, O’Neil JA, Grosfeld JL, Fonkalsrud EW, Coran AG. Meckel’s Diverticulum. In Essentials of Pediatric surgery. Ist Ed. 1995. Mosby-Year Book, Inc. New York. P 515-9.

Pinero A, Martinez-Barba E, Canteras M, Rodriguez JM, Castellanos G, Parrilla P. Surgical management and complications of Meckel's diverticulum in 90 patients. Eur J Surg 2002;168(1):8-12.

Oguzkurt P, Talim B, Tanyel FC, Caglar M, Senocak ME, Buyukpamukcu N. The role of heterotopic gastric mucosa with or without colonization of Helicobacter pylori upon the diverse symptomatology of Meckel's diverticulum in Children. Turk J Pediatr 2001;43(4):312-6.

Martin JP, Connor PD, Charles K. Meckel's diverticulum. Am Fam Physician 2000;61(4):1037-42 .

Groebli Y, Bertin D, Morel P. Meckel's diverticulum in adults: retrospective analysis of 119 cases and historical review. Eur J Surg 2001;167(7):518-24.

Bemelman WA, Hugenholtz E, Heij HA, Wiersma PH, Obertop H. Meckel's diverticulum in Amsterdam: experience in 136 patients. World J Surg 1995;19(5):734-7.

Moore TC. Omphalomesenteric duct malformations. Semin Pediatr Surg 1996;5(2):116-23.

Arnold JF, Pellicane JV. Meckel's diverticulum: a ten-year experience. Am Surg 1997;63(4):354-5.

Das PC, Rao PL, Radhakrishna K. Meckel's diverticulum in children. J Postgrad Med 1992;38(1):19-20.

St-Vil D, Brandt ML, Panic S, Bensoussan AL, Blanchard H. Meckel's diverticulum in children: a 20-year review. J Pediatr Surg 1991;26(11):1289-92.

Aarnio P, Salonen IS. Abdominal disorders arising from 71 Meckel's diverticulum. Ann Chir Gynaecol 2000;89(4):281-4.

Maieron R, Stimac D, Avellini C, Zoratti L, Rizzi C, Scott C, et al. Acute gastrointestinal bleeding due to Meckel's diverticulum heterotopic gastric mucosa. Ital J Gastroenterol 1996;28(4):225-8.

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