Meckel's diverticulum medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
* Initial medical management of symptomatic Meckel's diverticulum is directed toward management of clinical manifestations of complicated cases of Meckel's diverticulum associated with | * Initial medical management of symptomatic Meckel's diverticulum is directed toward management of clinical manifestations of complicated cases of Meckel's diverticulum associated with:<ref name="pmid17152574">{{cite journal |vauthors=Dumper J, Mackenzie S, Mitchell P, Sutherland F, Quan ML, Mew D |title=Complications of Meckel's diverticula in adults |journal=Can J Surg |volume=49 |issue=5 |pages=353–7 |year=2006 |pmid=17152574 |pmc=3207587 |doi= |url=}}</ref><ref name="pmid7944666">{{cite journal |vauthors=Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton LJ |title=Surgical management of Meckel's diverticulum. An epidemiologic, population-based study |journal=Ann. Surg. |volume=220 |issue=4 |pages=564–8; discussion 568–9 |year=1994 |pmid=7944666 |pmc=1234434 |doi= |url=}}</ref><ref name="pmid29078157">{{cite journal |vauthors=Hong J, Park SB |title=A case of retroperitoneal abscess: A rare complication of Meckel's diverticulum |journal=Int J Surg Case Rep |volume=41 |issue= |pages=150–153 |year=2017 |pmid=29078157 |doi=10.1016/j.ijscr.2017.10.012 |url=}}</ref><ref name="pmid28698005">{{cite journal |vauthors=Lequet J, Menahem B, Alves A, Fohlen A, Mulliri A |title=Meckel's diverticulum in the adult |journal=J Visc Surg |volume=154 |issue=4 |pages=253–259 |year=2017 |pmid=28698005 |doi=10.1016/j.jviscsurg.2017.06.006 |url=}}</ref><ref name="pmid28473039">{{cite journal |vauthors=Cotter TG, Buckley NS, Loftus CG |title=Approach to the Patient With Hematochezia |journal=Mayo Clin. Proc. |volume=92 |issue=5 |pages=797–804 |year=2017 |pmid=28473039 |doi=10.1016/j.mayocp.2016.12.021 |url=}}</ref><ref name="pmid28154669">{{cite journal |vauthors=Rosat A, Pérez E, Oaknin HH, Mendiz J, Hernández G, Barrera M |title=Spontaneous hemoperitoneum caused by meckel's diverticulum in an elder patient |journal=Pan Afr Med J |volume=24 |issue= |pages=314 |year=2016 |pmid=28154669 |pmc=5267917 |doi=10.11604/pamj.2016.24.314.10384 |url=}}</ref><ref name="pmid28051045">{{cite journal |vauthors=Rattan KN, Singh J, Dalal P, Rattan A |title=Meckel's diverticulum in children: Our 12-year experience |journal=Afr J Paediatr Surg |volume=13 |issue=4 |pages=170–174 |year=2016 |pmid=28051045 |pmc=5154221 |doi=10.4103/0189-6725.194671 |url=}}</ref><ref name="pmid27492813">{{cite journal |vauthors=Choi SY, Hong SS, Park HJ, Lee HK, Shin HC, Choi GC |title=The many faces of Meckel's diverticulum and its complications |journal=J Med Imaging Radiat Oncol |volume=61 |issue=2 |pages=225–231 |year=2017 |pmid=27492813 |doi=10.1111/1754-9485.12505 |url=}}</ref><ref name="pmid27483571">{{cite journal |vauthors=Chabowski M, Szymanska-Chabowska A, Dorobisz T, Janczak D, Jelen M, Janczak D |title=A massive bleeding from a gastrointestinal stromal tumor of a Meckel's diverticulum |journal=Srp Arh Celok Lek |volume=144 |issue=3-4 |pages=219–21 |year=2016 |pmid=27483571 |doi= |url=}}</ref><ref name="pmid26932405">{{cite journal |vauthors=Srisajjakul S, Prapaisilp P, Bangchokdee S |title=Many faces of Meckel's diverticulum and its complications |journal=Jpn J Radiol |volume=34 |issue=5 |pages=313–20 |year=2016 |pmid=26932405 |doi=10.1007/s11604-016-0530-x |url=}}</ref><ref name="pmid26884080">{{cite journal |vauthors=Alfa-Wali M, Wardle S, Nizar S, Bloom IT |title=Atypical presentation of a Meckel's diverticulum |journal=BMJ Case Rep |volume=2016 |issue= |pages= |year=2016 |pmid=26884080 |doi=10.1136/bcr-2016-214464 |url=}}</ref> | ||
**[[Bleeding|Hemorrhage]] | **[[Bleeding|Hemorrhage]] | ||
**[[Perforation]] of the [[Intestine|bowel]] | **[[Perforation]] of the [[Intestine|bowel]] | ||
Line 15: | Line 15: | ||
**[[Intussusception]] | **[[Intussusception]] | ||
** [[Peritonitis]] | ** [[Peritonitis]] | ||
* In order to manage complications, treatment administered is as follows: | |||
** | * Intravenous lines for: | ||
** | ** [[Fluid]] therapy | ||
** Electrolyte therapy | |||
* Nasogastric [[decompression]] for patients with symptoms and signs of [[Bowel obstruction|intestinal obstruction]] | |||
* For patients with [[gastrointestinal bleeding]]: | |||
** [[Proton pump inhibitor|Proton-pump inhibitor]] therapy | |||
** [[Aluminium hydroxide|Aluminum hydroxide]] | |||
Aluminum hydroxide | |||
==References== | ==References== |
Revision as of 23:14, 4 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]
Overview
Iron replacement to correct anemia. In major bleeding, a blood transfusion may be needed.
Medical Therapy
- Initial medical management of symptomatic Meckel's diverticulum is directed toward management of clinical manifestations of complicated cases of Meckel's diverticulum associated with:[1][2][3][4][5][6][7][8][9][10][11]
- In order to manage complications, treatment administered is as follows:
- Intravenous lines for:
- Fluid therapy
- Electrolyte therapy
- Nasogastric decompression for patients with symptoms and signs of intestinal obstruction
- For patients with gastrointestinal bleeding:
References
- ↑ Dumper J, Mackenzie S, Mitchell P, Sutherland F, Quan ML, Mew D (2006). "Complications of Meckel's diverticula in adults". Can J Surg. 49 (5): 353–7. PMC 3207587. PMID 17152574.
- ↑ Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton LJ (1994). "Surgical management of Meckel's diverticulum. An epidemiologic, population-based study". Ann. Surg. 220 (4): 564–8, discussion 568–9. PMC 1234434. PMID 7944666.
- ↑ Hong J, Park SB (2017). "A case of retroperitoneal abscess: A rare complication of Meckel's diverticulum". Int J Surg Case Rep. 41: 150–153. doi:10.1016/j.ijscr.2017.10.012. PMID 29078157.
- ↑ Lequet J, Menahem B, Alves A, Fohlen A, Mulliri A (2017). "Meckel's diverticulum in the adult". J Visc Surg. 154 (4): 253–259. doi:10.1016/j.jviscsurg.2017.06.006. PMID 28698005.
- ↑ Cotter TG, Buckley NS, Loftus CG (2017). "Approach to the Patient With Hematochezia". Mayo Clin. Proc. 92 (5): 797–804. doi:10.1016/j.mayocp.2016.12.021. PMID 28473039.
- ↑ Rosat A, Pérez E, Oaknin HH, Mendiz J, Hernández G, Barrera M (2016). "Spontaneous hemoperitoneum caused by meckel's diverticulum in an elder patient". Pan Afr Med J. 24: 314. doi:10.11604/pamj.2016.24.314.10384. PMC 5267917. PMID 28154669.
- ↑ Rattan KN, Singh J, Dalal P, Rattan A (2016). "Meckel's diverticulum in children: Our 12-year experience". Afr J Paediatr Surg. 13 (4): 170–174. doi:10.4103/0189-6725.194671. PMC 5154221. PMID 28051045.
- ↑ Choi SY, Hong SS, Park HJ, Lee HK, Shin HC, Choi GC (2017). "The many faces of Meckel's diverticulum and its complications". J Med Imaging Radiat Oncol. 61 (2): 225–231. doi:10.1111/1754-9485.12505. PMID 27492813.
- ↑ Chabowski M, Szymanska-Chabowska A, Dorobisz T, Janczak D, Jelen M, Janczak D (2016). "A massive bleeding from a gastrointestinal stromal tumor of a Meckel's diverticulum". Srp Arh Celok Lek. 144 (3–4): 219–21. PMID 27483571.
- ↑ Srisajjakul S, Prapaisilp P, Bangchokdee S (2016). "Many faces of Meckel's diverticulum and its complications". Jpn J Radiol. 34 (5): 313–20. doi:10.1007/s11604-016-0530-x. PMID 26932405.
- ↑ Alfa-Wali M, Wardle S, Nizar S, Bloom IT (2016). "Atypical presentation of a Meckel's diverticulum". BMJ Case Rep. 2016. doi:10.1136/bcr-2016-214464. PMID 26884080.