EN
TÜRKÇE
Withdrawn - 49
Parameters predicting the presence of heterotopy in Meckel’s diverticulum in children
B Aziza, F Thamri, Y Houas, NE Ben Alaya, A Guitouni, Y Kerkeni, S Sahli, R Jouini
children hospital Bechir Hamza, Pediatric surgery department A Tunis Tunisia
Aim of the study:
The presence of heterotopic tissue in Meckel's diverticulum (MD) is associated with a higher risk of development of complications.
Based on this concept, this study aimed to detect clinical and morphological parameters able to predict the probability of heterotopy in MD.
Methods:
The clinical records of 27 patients who underwent laparoscopic/open resection of MD between January 2013 and December 2019 were reviewed. MD complications (bleeding, inflammation, perforation, or involvement in pathological processes such as intussusception) and MD dimensions (width and length) were evaluated in association with heterotopy. The data was processed by the SPSS version 20 and statistical significance was assigned to p-values<0.05.
Results:
Twenty-seven patients underwent Meckel's diverticulectomy. The mean age of the children was 4.7 years (4 months to 13 years). The male-female ratio was 4.4. There were 8 (30%) patients with asymptomatic MD. The remaining 19 (70%) patients were symptomatic and presented with various clinical features: bleeding (12 patients;44%), intussusception (4 patients;15%), peritonitis with perforated MD (2 patients;7.5%), and intestinal obstruction in 1 patient. Gastric heterotopia was found in 4 (15%) patients and pancreatic heterotopia in 6 (22.2%). Significance between the presence of heterotopic tissue and complicated MD was evident (47.4% vs 12.5%, p=0.01). The width of the base of the MD was significantly higher in patients with gastric/pancreatic heterotopia (2.5 ± 0.5 vs. 1.4 ± 0.6 cm; p=0.002). No correlation was found between the presence of heterotopic tissue and the following parameters: age, gender, prematurity, distance from Bauhin's valve, and length of Meckel's diverticulum.
Conclusion:
According to the study outcomes, the width of the diverticulum base and complicated MD at presentation seem to be significant predictive factors associated with the presence of heterotopic tissue in Meckel's diverticulum.