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World Journal of Surgery

, Volume 42, Issue 11, pp 3779–3784 | Cite as

Meckel’s Diverticulum in Children—Parameters Predicting the Presence of Gastric Heterotopia

  • Ivana Slívová
  • Zuzana Vávrová
  • Hana Tomášková
  • Okaikor Okantey
  • Igor Penka
  • Peter Ihnát
Original Scientific Report
  • 99 Downloads

Abstract

Background

The presence of gastric ectopic mucosa in Meckel’s diverticulum is associated with a higher risk of development of complications. The aim of the present study was to investigate which demographic/clinical parameters predict the presence of gastric heterotopia in Meckel’s diverticulum.

Methods

This was a retrospective cohort study conducted in a single institution (University Hospital Ostrava, Czech republic). All children who underwent laparoscopic/open resection of Meckel’s diverticulum within a 20-year study period were included in the study.

Results

In total, 88 pediatric patients underwent analysis. The mean age of the children was 4.6 ± 4.73 years; the male–female ratio was approximately 2:1. There were 50 (56.8%) patients with asymptomatic Meckel’s diverticulum in our study group. Laparoscopic resection was performed in 24 (27.3%) patients; segmental bowel resection through laparotomy was performed in 13 (14.8%) patients. Gastric heterotopia was found in 39 (44.3%) patients; resection margins of all patients were clear of gastric heterotopia. No correlation was found between the presence of gastric heterotopia and the following parameters: age, gender, maternal age, prematurity, low birth weight, perinatal asphyxia, distance from Bauhin’s valve and length of Meckel’s diverticulum. The width of the diverticulum base was significantly higher in patients with gastric heterotopia (2.1 ± 0.57 vs. 1.2 ± 0.41 cm; p < 0.001).

Conclusions

According to the study outcomes, the width of the diverticulum base seems to be a significant predictive factor associated with the presence of gastric heterotopia in Meckel’s diverticulum. The laparoscopic/open resection of asymptomatic MD with a wide base should therefore be recommended.

Notes

Compliance with Ethical Standards

Conflict of Interest

All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in the study were in accordance with the ethical standards of the University hospital and Faculty of Medicine, University of Ostrava, Czech Republic, in accordance with the ethical standards of the Helsinki Declaration of 1975, as revised in 2000. For this type of study formal consent is not required.

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Copyright information

© Société Internationale de Chirurgie 2018

Authors and Affiliations

  • Ivana Slívová
    • 1
    • 2
  • Zuzana Vávrová
    • 1
    • 2
  • Hana Tomášková
    • 3
  • Okaikor Okantey
    • 4
  • Igor Penka
    • 1
    • 2
  • Peter Ihnát
    • 1
    • 2
  1. 1.Department of SurgeryUniversity Hospital OstravaOstravaCzech Republic
  2. 2.Department of Surgical Studies, Faculty of MedicineUniversity of OstravaOstravaCzech Republic
  3. 3.Department of Epidemiology and Public health, Faculty of MedicineUniversity of OstravaOstravaCzech Republic
  4. 4.Department of Cardiac SurgeryUniversity Hospital OstravaOstravaCzech Republic

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