Year 2020 / Volume 112 / Number 6
Original
The diagnostic value of video capsule endoscopy for Meckel’s diverticulum in children

429-433

DOI: 10.17235/reed.2020.6708/2019

Jie Wu, Zhiheng Huang, Ha Wu, Min Ji, Yuhuan Wang, Zifei Tang, Ying Huang,

Abstract
Background: Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract and is also an important cause of bloody stool and anemia in children. However, there are few data about video capsule endoscopy (VCE) for MD in children. This study aimed to evaluate the diagnostic value of VCE for MD in children. Materials and methods: children who underwent VCE for obscure gastrointestinal bleeding from October 1st 2015 to August 31st 2019 at the Children’s Hospital of Fudan University were included in this retrospective study. Medical data, VCE data and Meckel’s scans, etc. were collected for each patient. Results: sixteen patients were diagnosed with MD by VCE, including 13 males and 3 females. The age of the patients ranged from 4 years to 13 years, with an average of 7.8 ± 2.7 years. Lower gastrointestinal tract bleeding was the main symptom for patients with MD, including hematochezia (75 %) and melena (25 %). Of the VCE findings, 14 patients had double lumen signs and 2 showed protruding lesions. Among the 16 patients diagnosed with MD by VCE, 14 patients were diagnosed with MD by Meckel’s scan, 3 with MD by abdominal enhanced CT and 14 patients were diagnosed with MD by surgery. During the follow-up, bleeding occurred sporadically in patient 12 and the reason is still unknown. Conclusions: VCE is useful for the diagnosis of MD and should be used as a valuable and less invasive examination to confirm or establish a diagnosis.
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Wu J, Huang Z, Wu H, Ji M, Wang Y, Tang Z, et all. The diagnostic value of video capsule endoscopy for Meckel’s diverticulum in children . 6708/2019


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Publication history

Received: 28/10/2019

Accepted: 14/12/2019

Online First: 26/05/2020

Published: 08/06/2020

Article revision time: 45 days

Article Online First time: 211 days

Article editing time: 224 days


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