Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)
Background and Aims. Patients with Meckel’s diverticulum (MD) are difficult to preoperatively diagnose because of its endoscopic inaccessibility. Balloon-assisted enteroscopy (BAE) allows endoscopic access to the entire small intestine. The aim of the current study was to investigate patients with M...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2021/9574737 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832555159846125568 |
|---|---|
| author | Jen-Wei Chou Chen-Shuan Chung Tien-Yu Huang Chia-Hung Tu Chen-Wang Chang Chung-Hsin Chang Yen-Po Wang Wen-Hung Hsu Hsu-Heng Yen Chia-Jung Kuo Chiao-Hsiung Chuang Ching-Pin Lin Tzung-Jiun Tsai Ming-Yao Su Horng-Yuan Wang Deng-Chyang Wu Cheng-Tang Chiu |
| author_facet | Jen-Wei Chou Chen-Shuan Chung Tien-Yu Huang Chia-Hung Tu Chen-Wang Chang Chung-Hsin Chang Yen-Po Wang Wen-Hung Hsu Hsu-Heng Yen Chia-Jung Kuo Chiao-Hsiung Chuang Ching-Pin Lin Tzung-Jiun Tsai Ming-Yao Su Horng-Yuan Wang Deng-Chyang Wu Cheng-Tang Chiu |
| author_sort | Jen-Wei Chou |
| collection | DOAJ |
| description | Background and Aims. Patients with Meckel’s diverticulum (MD) are difficult to preoperatively diagnose because of its endoscopic inaccessibility. Balloon-assisted enteroscopy (BAE) allows endoscopic access to the entire small intestine. The aim of the current study was to investigate patients with MD diagnosed by BAE in Taiwan. Methods. We conducted a retrospective, multicenter study of patients with MD who were diagnosed by BAE in Taiwan. The clinical characteristics, endoscopic features, histopathological findings, treatment methods, and outcomes were analyzed. Results. A total of 55 patients with MD were enrolled (46 males and 9 females). The mean age at diagnosis was 34.1 years. Overt gastrointestinal bleeding (87.3%) was the primary indication for BAE, followed by abdominal pain (9.1%), suspected small bowel tumor (1.8%), and Crohn’s disease follow-up (1.8%). The mean distance between the ileocecal valve and MD was 71.6 cm (regarding diagnostic yields: BAE—100%, capsule endoscopy—40%, Meckel’s scan—35.7%, computed tomography—14.6%, small bowel series—12.5%, and angiography—11.1%; regarding endoscopic features of MD: a large ostium—89.1%, a small ostium—7.3%, and a polypoid mass—3.6%). Surgical treatment was performed in 76.4% patients, and conservative treatment was performed in 23.6% patients. The mean length of MD in 42 patients who underwent surgical resection was 5.2 cm (in 43 patients of MD with available histopathology: heterotopic gastric tissue, 42.4%, heterotopic gastric and pancreatic tissues, 7%; heterotopic pancreatic tissue, 4.7%; heterotopic colonic tissue, 2.3%; and a neuroendocrine tumor, 2.3%). Conclusions. The current study showed BAE is a very useful modality for detecting MD compared with other conventional modalities. |
| format | Article |
| id | doaj-art-f2662c9619a8403f9ca1b81a973def7f |
| institution | Kabale University |
| issn | 1687-630X |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-f2662c9619a8403f9ca1b81a973def7f2025-02-03T05:49:28ZengWileyGastroenterology Research and Practice1687-630X2021-01-01202110.1155/2021/9574737Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)Jen-Wei Chou0Chen-Shuan Chung1Tien-Yu Huang2Chia-Hung Tu3Chen-Wang Chang4Chung-Hsin Chang5Yen-Po Wang6Wen-Hung Hsu7Hsu-Heng Yen8Chia-Jung Kuo9Chiao-Hsiung Chuang10Ching-Pin Lin11Tzung-Jiun Tsai12Ming-Yao Su13Horng-Yuan Wang14Deng-Chyang Wu15Cheng-Tang Chiu16Center for Digestive MedicineTaiwan Association for the Study of Small Intestinal Diseases (TASSID)Taiwan Association for the Study of Small Intestinal Diseases (TASSID)Taiwan Association for the Study of Small Intestinal Diseases (TASSID)Taiwan Association for the Study of Small Intestinal Diseases (TASSID)Taiwan Association for the Study of Small Intestinal Diseases (TASSID)Taiwan Association for the Study of Small Intestinal Diseases (TASSID)Taiwan Association for the Study of Small Intestinal Diseases (TASSID)Division of GastroenterologyDepartment of Gastroenterology and HepatologyDivision of Gastroenterology and HepatologyDivision of Gastroenterology and HepatologyDivision of Gastroenterology and HepatologyDepartment of Internal MedicineTaiwan Association for the Study of Small Intestinal Diseases (TASSID)Taiwan Association for the Study of Small Intestinal Diseases (TASSID)Department of Gastroenterology and HepatologyBackground and Aims. Patients with Meckel’s diverticulum (MD) are difficult to preoperatively diagnose because of its endoscopic inaccessibility. Balloon-assisted enteroscopy (BAE) allows endoscopic access to the entire small intestine. The aim of the current study was to investigate patients with MD diagnosed by BAE in Taiwan. Methods. We conducted a retrospective, multicenter study of patients with MD who were diagnosed by BAE in Taiwan. The clinical characteristics, endoscopic features, histopathological findings, treatment methods, and outcomes were analyzed. Results. A total of 55 patients with MD were enrolled (46 males and 9 females). The mean age at diagnosis was 34.1 years. Overt gastrointestinal bleeding (87.3%) was the primary indication for BAE, followed by abdominal pain (9.1%), suspected small bowel tumor (1.8%), and Crohn’s disease follow-up (1.8%). The mean distance between the ileocecal valve and MD was 71.6 cm (regarding diagnostic yields: BAE—100%, capsule endoscopy—40%, Meckel’s scan—35.7%, computed tomography—14.6%, small bowel series—12.5%, and angiography—11.1%; regarding endoscopic features of MD: a large ostium—89.1%, a small ostium—7.3%, and a polypoid mass—3.6%). Surgical treatment was performed in 76.4% patients, and conservative treatment was performed in 23.6% patients. The mean length of MD in 42 patients who underwent surgical resection was 5.2 cm (in 43 patients of MD with available histopathology: heterotopic gastric tissue, 42.4%, heterotopic gastric and pancreatic tissues, 7%; heterotopic pancreatic tissue, 4.7%; heterotopic colonic tissue, 2.3%; and a neuroendocrine tumor, 2.3%). Conclusions. The current study showed BAE is a very useful modality for detecting MD compared with other conventional modalities.http://dx.doi.org/10.1155/2021/9574737 |
| spellingShingle | Jen-Wei Chou Chen-Shuan Chung Tien-Yu Huang Chia-Hung Tu Chen-Wang Chang Chung-Hsin Chang Yen-Po Wang Wen-Hung Hsu Hsu-Heng Yen Chia-Jung Kuo Chiao-Hsiung Chuang Ching-Pin Lin Tzung-Jiun Tsai Ming-Yao Su Horng-Yuan Wang Deng-Chyang Wu Cheng-Tang Chiu Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID) Gastroenterology Research and Practice |
| title | Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID) |
| title_full | Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID) |
| title_fullStr | Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID) |
| title_full_unstemmed | Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID) |
| title_short | Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID) |
| title_sort | meckel s diverticulum diagnosed by balloon assisted enteroscopy a multicenter report from the taiwan association for the study of small intestinal diseases tassid |
| url | http://dx.doi.org/10.1155/2021/9574737 |
| work_keys_str_mv | AT jenweichou meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT chenshuanchung meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT tienyuhuang meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT chiahungtu meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT chenwangchang meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT chunghsinchang meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT yenpowang meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT wenhunghsu meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT hsuhengyen meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT chiajungkuo meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT chiaohsiungchuang meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT chingpinlin meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT tzungjiuntsai meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT mingyaosu meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT horngyuanwang meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT dengchyangwu meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid AT chengtangchiu meckelsdiverticulumdiagnosedbyballoonassistedenteroscopyamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseasestassid |