Meckelsches Divertikel: chirurgische Komplikationen. [Meckel's diverticulum: surgical complications]

Détails

ID Serval
serval:BIB_C484E16320C7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Meckelsches Divertikel: chirurgische Komplikationen. [Meckel's diverticulum: surgical complications]
Périodique
Helvetica Chirurgica Acta
Auteur⸱e⸱s
Demartines  N., Herzog  U., Tondelli  P., Harder  F.
ISSN
0018-0181 (Print)
Statut éditorial
Publié
Date de publication
08/1992
Volume
59
Numéro
2
Pages
325-9
Notes
English Abstract
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.
Mots-clé
Abdomen, Acute/diagnosis/pathology/surgery Adolescent Adult Aged Aged, 80 and over *Appendectomy Appendicitis/diagnosis/pathology/*surgery Appendix/pathology Diagnosis, Differential Diverticulitis/diagnosis/pathology/*surgery Female Humans Intraoperative Complications/diagnosis/pathology/*surgery Male Meckel Diverticulum/diagnosis/pathology/*surgery Middle Aged Retrospective Studies
Pubmed
Web of science
Création de la notice
28/01/2008 8:53
Dernière modification de la notice
20/08/2019 15:39
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