scholarly journals Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy

2017 ◽  
Vol 11 (3) ◽  
pp. 640-644 ◽  
Author(s):  
Yuki Kawasaki ◽  
Satoshi Shinozaki ◽  
Tomonori Yano ◽  
Kenichi Oshiro ◽  
Mitsuaki Morimoto ◽  
...  

An 18-year-old man presented after undergoing multiple investigations for abdominal pain. Retrograde double-balloon enteroscopy showed a protruding red lesion in the ileum with small ulcers, approximately 75 cm proximal to the ileocecal valve, resulting in an intussusception. An inverted Meckel’s diverticulum was strongly suspected. Pressure was applied to the protruding lesion using contrast medium injection after wedging the lumen with a balloon. The intussusception partially reduced, avoiding the need for emergent surgery. Endoscopic tattooing was performed to mark the lesion for subsequent resection. Elective laparoscopy-assisted surgery with minimum laparotomy revealed an inverted Meckel’s diverticulum, which was resected.

Endoscopy ◽  
2017 ◽  
Vol 49 (S 01) ◽  
pp. E66-E67 ◽  
Author(s):  
Kazutoshi Konomatsu ◽  
Toshio Kuwai ◽  
Toshiki Yamaguchi ◽  
Hiroki Imagawa ◽  
Atsushi Yamaguchi ◽  
...  

2016 ◽  
Vol 22 (17) ◽  
pp. 4416 ◽  
Author(s):  
Kosuke Takagaki ◽  
Satoshi Osawa ◽  
Tatsuhiro Ito ◽  
Moriya Iwaizumi ◽  
Yasushi Hamaya ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Lan-Lan Geng ◽  
Pei-Yu Chen ◽  
Qiang Wu ◽  
Hui-Wen Li ◽  
Ding-You Li ◽  
...  

Background. Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. The purpose of this study was to evaluate the diagnostic value and safety of double-balloon enteroscopy (DBE) for bleeding MD in children. Methods. We included consecutive children who were highly suspected of MD between 2012 and 2013. All patients underwent Meckel’s scan. DBE was performed for patient with negative Meckel’s scan. An exploratory laparoscopy was performed in children with positive Meckel’s scan or DBE. Results. 42 patients met the inclusion criteria. 40 patients were confirmed to have MD by exploratory laparoscopy. Meckel’s scan was positive in 36 and negative in 6, with 34 as true positives and 2 as false positives. Six patients with negative Meckel’s scan were found to have MD by retrograde DBE and had immediate operation. The distance from the diverticulum to the ileocecal valve was 40 to 60 cm. Ectopic gastric mucosa was present in all 6 patients (100%). After operation, patients were followed in clinic for 20 to 42 months and no evidence of GI bleeding or recurrent anemia was observed. Conclusions. Double-balloon enteroscopy can be a reliable diagnostic tool for bleeding Meckel’s diverticulum in children with negative Meckel’s scan.


2008 ◽  
Vol 20 (3) ◽  
pp. 159-161 ◽  
Author(s):  
Hiroaki Takeda ◽  
Takeshi Sato ◽  
Tomohiko Orii ◽  
Shoichiro Fujishima ◽  
Sayaka Otake ◽  
...  

Endoscopy ◽  
2007 ◽  
Vol 39 (S 1) ◽  
pp. E160-E160 ◽  
Author(s):  
K. Honda ◽  
T. Mizutani ◽  
N. Higuchi ◽  
K. Kanayama ◽  
Y. Sumida ◽  
...  

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