Document Detail


Surgical management of Meckel's diverticulum. An epidemiologic, population-based study.
MedLine Citation:
PMID:  7944666     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The authors determined whether Meckel's diverticulum, discovered incidentally at operation, should be removed. SUMMARY BACKGROUND DATA: It is not clear from the medical literature whether the risk of an incidental Meckel's diverticulectomy is greater than the risk of leaving the diverticulum in place. METHODS: The authors used the medical experience of Olmsted County, Minnesota residents for the period 1950 to 1992 to answer the question. RESULTS: During the period, 58 residents developed Meckel's complications that required diverticulectomies. The incidence of complications was 87 per 100,000 person-years, and the lifetime risk (to 80 years of age) of developing them was 6.4%. The risks were similar throughout the period and at all ages of life, but were greater among men (124 per 100,000 person-years) than women (50 per 100,000 person-years, p < 0.05). Diverticulectomies for complications carried an operative mortality and morbidity of 2% and 12% and a cumulative risk of long-term postoperative complications of 7%, whereas incidental diverticulectomies done in 87 residents during the period carried corresponding rates of only 1%, 2%, and 2%, respectively. CONCLUSIONS: Meckel's diverticula discovered incidentally at operation should be removed for most patients, regardless of age.
Authors:
J J Cullen; K A Kelly; C R Moir; D O Hodge; A R Zinsmeister; L J Melton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Annals of surgery     Volume:  220     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1994-11-10     Completed Date:  1994-11-10     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  564-8; discussion 568-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Mayo Clinic, Rochester, Minnesota.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Aged
Child
Diverticulitis / epidemiology*,  etiology,  surgery
Female
Follow-Up Studies
Humans
Incidence
Life Tables
Male
Meckel Diverticulum / complications,  epidemiology,  surgery*
Middle Aged
Minnesota / epidemiology
Morbidity
Postoperative Complications / epidemiology
Risk Factors
Sex Factors
Grant Support
ID/Acronym/Agency:
AR30582/AR/NIAMS NIH HHS; DK 18278/DK/NIDDK NIH HHS; DK07198/DK/NIDDK NIH HHS
Comments/Corrections
Comment In:
Ann Surg. 1995 Dec;222(6):770   [PMID:  8526592 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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