Robbert-Jan Lindeman1,2, Kjetil Søreide3,4. 1. Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway. 2. Department of Clinical Medicine, University of Bergen, Bergen, Norway. 3. Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway. ksoreide@mac.com. 4. Department of Clinical Medicine, University of Bergen, Bergen, Norway. ksoreide@mac.com.
Abstract
PURPOSE OF REVIEW: Meckel's diverticulum may be detected incidentally or present with symptoms from infancy and to old age. The presentation may be acute, with several complications associated with the condition. We aim to review the many faces with which a Meckel's diverticulum may present, either symptomatically or as an incidental finding. RECENT FINDINGS: Due to its rarity, recent studies mainly include small retrospective series or case reports. Emphasis in the recent literature is on clinical presentation, the pathology of symptomatic cases, management options and risks of neoplasia. Symptoms are mainly caused by obstruction, bleeding or diverticulitis. Cross-sectional imaging is unspecific, although capsule endoscopy is reported of use in case series. Meckel's diverticulum presents with clinical features that are age-specific. Complicated Meckel's diverticulum is treated by resection. Optimal treatment of incidental cases remains debated. Meckel's diverticulum usually stays asymptomatic, and decision-making for management should be based on patient-specific factors. Use of minimal invasive techniques mandates refinement of the optimal treatment.
PURPOSE OF REVIEW: Meckel's diverticulum may be detected incidentally or present with symptoms from infancy and to old age. The presentation may be acute, with several complications associated with the condition. We aim to review the many faces with which a Meckel's diverticulum may present, either symptomatically or as an incidental finding. RECENT FINDINGS: Due to its rarity, recent studies mainly include small retrospective series or case reports. Emphasis in the recent literature is on clinical presentation, the pathology of symptomatic cases, management options and risks of neoplasia. Symptoms are mainly caused by obstruction, bleeding or diverticulitis. Cross-sectional imaging is unspecific, although capsule endoscopy is reported of use in case series. Meckel's diverticulum presents with clinical features that are age-specific. Complicated Meckel's diverticulum is treated by resection. Optimal treatment of incidental cases remains debated. Meckel's diverticulum usually stays asymptomatic, and decision-making for management should be based on patient-specific factors. Use of minimal invasive techniques mandates refinement of the optimal treatment.
Authors: Slobodan N Krstic; Jelena B Martinov; Aleksandra D Sokic-Milutinovic; Tomica N Milosavljevic; Miodrag N Krstic Journal: Eur J Gastroenterol Hepatol Date: 2016-06 Impact factor: 2.566