Meckel's Diverticulum in Children-Parameters Predicting the Presence of Gastric Heterotopia

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F18%3AA1901XE6" target="_blank" >RIV/61988987:17110/18:A1901XE6 - isvavai.cz</a>

Alternative codes found

RIV/00843989:_____/18:E0107264 RIV/71009396:_____/18:N0000011

Result on the web

<a href="https://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=GeneralSearch&qid=14&SID=F2X8b3AjSa8njWrUSM7&page=1&doc=1" target="_blank" >https://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=GeneralSearch&qid=14&SID=F2X8b3AjSa8njWrUSM7&page=1&doc=1</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00268-018-4664-0" target="_blank" >10.1007/s00268-018-4664-0</a>

Result language

angličtina

Original language name

Meckel's Diverticulum in Children-Parameters Predicting the Presence of Gastric Heterotopia

Original language description

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&lt;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.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

WORLD JOURNAL OF SURGERY

ISSN

0364-2313

e-ISSN

1432-2323

Volume of the periodical

11

Issue of the periodical within the volume

42

Country of publishing house

US - UNITED STATES

Number of pages

6

Pages from-to

3379-3784

UT code for WoS article

000446776000040

EID of the result in the Scopus database

2-s2.0-85046727362