Titre
Meckelsches Divertikel: chirurgische Komplikationen. [Meckel's diverticulum: surgical complications]
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Demartines, N.
Auteure/Auteur
Herzog, U.
Auteure/Auteur
Tondelli, P.
Auteure/Auteur
Harder, F.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0018-0181
Statut éditorial
Publié
Date de publication
1992-08
Volume
59
Numéro
2
Première page
325
Dernière page/numéro d’article
9
Notes
English Abstract
Journal Article --- Old month value: Aug
Journal Article --- Old month value: Aug
Résumé
A 20-year (1971-1990) retrospective follow-up of all patients with a Meckel diverticulum (MD) out of the Kantonsspital and St. Claraspital Basel is reported. There were 57 men and 34 women with a mean age of 46.7 years (14-89). 60.4% of the cases were occasional findings, 39.6% were symptomatic MD. During the same period of time 5000 appendectomies were performed (ratio diverticulectomy to appendectomy was 1:50). 38.5% of the resections of MD were done when an acute appendicitis was supposed. In one third of the cases the MD was responsible for the symptomatology. Histological findings were 13% unspecific inflammation, 10% perforation, 9.8% ectopic tissue, 6.5% bleeding and 4.3% tumors. 8 out of 36 patients with pathological findings showed postoperative complications (21.6%), the mortality rate was 8.1%. In 55% resected MD without any additional histological findings only one complication (postoperative ileus) (1.9%) was found; mortality was zero per cent. The analysis of these data shows that complications of MD does not only appear in young patients. Complications occur more often in patients with MD with additional ectopy. We recommend the resection of an incidentally discovered Meckel diverticulum.
Sujets
PID Serval
serval:BIB_C484E16320C7
PMID
Date de création
2008-01-28T07:53:56.959Z
Date de création dans IRIS
2025-05-21T02:57:00Z