Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Clinical Features of Symptomatic Meckel's Diverticulum in Children: Comparison of Scintigraphic and Non-scintigraphic Diagnosis

  • Rho, Jung Hee (Department of Pediatrics, Gachon University Gil Medical Center) ;
  • Kim, Jae Sook (Department of Pediatrics, Inha University Hospital) ;
  • Kim, Sang Yong (Department of Pediatrics, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Kim, Soon Ki (Department of Pediatrics, Inha University Hospital) ;
  • Choi, Yoon Mi (Department of Pediatric Surgery, Inha University Hospital) ;
  • Kim, Sung Min (Gachon University Gil Medical Center) ;
  • Tchah, Hann (Department of Pediatrics, Gachon University Gil Medical Center) ;
  • Jeon, In Sang (Department of Pediatrics, Gachon University Gil Medical Center) ;
  • Son, Dong Woo (Department of Pediatrics, Gachon University Gil Medical Center) ;
  • Ryoo, Eell (Department of Pediatrics, Gachon University Gil Medical Center) ;
  • Cho, Kang Ho (Department of Pediatrics, Gachon University Gil Medical Center) ;
  • Choi, Deok Young (Department of Pediatrics, Gachon University Gil Medical Center) ;
  • Kim, Yoon Mi (Department of Nursing Science, College of Nursing, Gachon University)
  • Received : 2013.02.18
  • Accepted : 2013.03.18
  • Published : 2013.03.30
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Abstract

Purpose: Meckel's diverticulum (MD) has various clinical manifestations, and diagnosis or selectection of proper diagnostic tools is not easy. This study was conducted in order to assess the clinical differences of MD diagnosed by scintigraphic and non-scintigraphic methods and to find the proper diagnostic tools. Methods: We conducted a retrospective review ofthe clinical, surgical, radiologic, and pathologic findings of 34 children with symptomatic MD, who were admitted to Gachon University Gil Medical Center, Inha University Hospital, and The Catholic University of Korea, Incheon St. Mary's Hospital between January 2000 and December 2012. The patients were evaluated according to scintigraphic (12 cases; group 1) and non-scintigraphic (22 cases; group 2) diagnosis. Results: The male to female ratio was 7.5: 1. The most frequent chief complaint was lower gastrointestinal (GI) bleeding in group 1 and nonspecific abdominal pain in group 2, respectively. The most frequent pre-operative diagnosis was MD in both groups. Red blood cell (RBC) index was significantly lower in group 1. MD was located at 7 cm to 85 cm from the ileocecal valve. Four patients in group 1 had ectopic gastric tissues causing lower GI bleeding. The most frequent treatment modality was diverticulectomy in group 1 and ileal resection in group 2, respectively. Conclusion: To diagnose MD might be delayed unless proper diagnostic tools are considered. It is important to understand indications of scintigraphic and non-scintigraphic methods according to clinical and hematologic features of MD. Scintigraphy would be weighed in patients with anemia as well as GI symptoms.

Keywords

References

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