Cargando…

A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis

BACKGROUND: Meckel’s diverticulum is a congenital anomaly of the gastrointestinal tract. About 98% of affected patients are asymptomatic. Small intestinal examination has become easier since the development of double-balloon enteroscopy. The present case series describes 10 patients with Meckel’s di...

Descripción completa

Detalles Bibliográficos
Autores principales: Fukushima, Masashi, Kawanami, Chiharu, Inoue, Satoko, Okada, Akihiko, Imai, Yukihiro, Inokuma, Tetsuro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155089/
https://www.ncbi.nlm.nih.gov/pubmed/25175823
http://dx.doi.org/10.1186/1471-230X-14-155
_version_ 1782333519976988672
author Fukushima, Masashi
Kawanami, Chiharu
Inoue, Satoko
Okada, Akihiko
Imai, Yukihiro
Inokuma, Tetsuro
author_facet Fukushima, Masashi
Kawanami, Chiharu
Inoue, Satoko
Okada, Akihiko
Imai, Yukihiro
Inokuma, Tetsuro
author_sort Fukushima, Masashi
collection PubMed
description BACKGROUND: Meckel’s diverticulum is a congenital anomaly of the gastrointestinal tract. About 98% of affected patients are asymptomatic. Small intestinal examination has become easier since the development of double-balloon enteroscopy. The present case series describes 10 patients with Meckel’s diverticulum in whom double-balloon enteroscopy was useful for diagnosis. CASE PRESENTATION: Ten patients (8 men, 2 women) with Meckel’s diverticulum underwent double-balloon enteroscopy at Kobe City Medical Center General Hospital from May 2004 through May 2013. Their median age was 31.5 years (range, 14–83 years). Ten retrograde and two anterograde double-balloon enteroscopy procedures were performed. Double-balloon enteroscopy showed Meckel’s diverticulum in nine patients, but an inverted Meckel’s diverticulum was diagnosed as a lipoma in one patient. Meckel’s diverticulum was detected by iodinated contrast medium during anterograde double-balloon enteroscopy in one of the two patients who underwent this procedure. Meckel’s diverticulum was suspected using capsule endoscopy in one of two patients who underwent this procedure. Abdominal computed tomography was performed in all patients and revealed abnormalities in six, but Meckel’s diverticulum was suspected in only two. Technetium-99 m pertechnetate scintigraphy and a small bowel series were carried out in six patients, revealing Meckel’s diverticulum in one and three patients, respectively. Surgery was performed in eight patients, and endoscopic resection was carried out in one; the remaining patient was transferred to another hospital. Ulcer formation was found in or near Meckel’s diverticulum in eight patients. CONCLUSION: Compared with other modalities, double-balloon enteroscopy is excellent for the diagnosis of Meckel’s diverticulum because direct observation of both Meckel’s diverticulum and ulceration is possible. Double-balloon enteroscopy should be used complementarily to other less invasive examinations when needed to confirm or establish the diagnosis.
format Online
Article
Text
id pubmed-4155089
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-41550892014-09-06 A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis Fukushima, Masashi Kawanami, Chiharu Inoue, Satoko Okada, Akihiko Imai, Yukihiro Inokuma, Tetsuro BMC Gastroenterol Case Report BACKGROUND: Meckel’s diverticulum is a congenital anomaly of the gastrointestinal tract. About 98% of affected patients are asymptomatic. Small intestinal examination has become easier since the development of double-balloon enteroscopy. The present case series describes 10 patients with Meckel’s diverticulum in whom double-balloon enteroscopy was useful for diagnosis. CASE PRESENTATION: Ten patients (8 men, 2 women) with Meckel’s diverticulum underwent double-balloon enteroscopy at Kobe City Medical Center General Hospital from May 2004 through May 2013. Their median age was 31.5 years (range, 14–83 years). Ten retrograde and two anterograde double-balloon enteroscopy procedures were performed. Double-balloon enteroscopy showed Meckel’s diverticulum in nine patients, but an inverted Meckel’s diverticulum was diagnosed as a lipoma in one patient. Meckel’s diverticulum was detected by iodinated contrast medium during anterograde double-balloon enteroscopy in one of the two patients who underwent this procedure. Meckel’s diverticulum was suspected using capsule endoscopy in one of two patients who underwent this procedure. Abdominal computed tomography was performed in all patients and revealed abnormalities in six, but Meckel’s diverticulum was suspected in only two. Technetium-99 m pertechnetate scintigraphy and a small bowel series were carried out in six patients, revealing Meckel’s diverticulum in one and three patients, respectively. Surgery was performed in eight patients, and endoscopic resection was carried out in one; the remaining patient was transferred to another hospital. Ulcer formation was found in or near Meckel’s diverticulum in eight patients. CONCLUSION: Compared with other modalities, double-balloon enteroscopy is excellent for the diagnosis of Meckel’s diverticulum because direct observation of both Meckel’s diverticulum and ulceration is possible. Double-balloon enteroscopy should be used complementarily to other less invasive examinations when needed to confirm or establish the diagnosis. BioMed Central 2014-08-30 /pmc/articles/PMC4155089/ /pubmed/25175823 http://dx.doi.org/10.1186/1471-230X-14-155 Text en © Fukushima et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Fukushima, Masashi
Kawanami, Chiharu
Inoue, Satoko
Okada, Akihiko
Imai, Yukihiro
Inokuma, Tetsuro
A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis
title A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis
title_full A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis
title_fullStr A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis
title_full_unstemmed A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis
title_short A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis
title_sort case series of meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155089/
https://www.ncbi.nlm.nih.gov/pubmed/25175823
http://dx.doi.org/10.1186/1471-230X-14-155
work_keys_str_mv AT fukushimamasashi acaseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT kawanamichiharu acaseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT inouesatoko acaseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT okadaakihiko acaseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT imaiyukihiro acaseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT inokumatetsuro acaseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT fukushimamasashi caseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT kawanamichiharu caseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT inouesatoko caseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT okadaakihiko caseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT imaiyukihiro caseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis
AT inokumatetsuro caseseriesofmeckelsdiverticulumusefulnessofdoubleballoonenteroscopyfordiagnosis