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.
Share Button
New comment
Comments
No comments for this article
References
St-Vil D, Brandt ML, Panic S, Bensoussan AL, Blanchard H: Meckel's diverticulum in children: a 20-year review. J Pediatr Surg 1991, 26(11):1289-1292.
2. Keese D, Rolle U, Gfroerer S, Fiegel H: Symptomatic Meckel's Diverticulum in Pediatric Patients-Case Reports and Systematic Review of the Literature. Front Pediatr 2019, 7:267.
3. Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR: Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg 2005, 241(3):529-533.
4. Oliva S, Cohen SA, Di Nardo G, Gualdi G, Cucchiara S, Casciani E: Capsule endoscopy in pediatrics: a 10-years journey. World J Gastroenterol 2014, 20(44):16603-16608.
5. Silva M, Cardoso H, Peixoto A, Lopes S, Santos AL, Gomes S, Macedo G: The Role of Capsule Endoscopy in Urgent Evaluation of Obscure Gastrointestinal Bleeding: A Case Series of Meckel Diverticulum. Arq Bras Cir Dig 2018, 31(4):e1409.
6. Sagar J, Kumar V, Shah DK: Meckel's diverticulum: a systematic review. J R Soc Med 2006, 99(10):501-505.
7. Hansen CC, Soreide K: Systematic review of epidemiology, presentation, and management of Meckel's diverticulum in the 21st century. Medicine (Baltimore) 2018, 97(35):e12154.
8. Enns RA, Hookey L, Armstrong D, Bernstein CN, Heitman SJ, Teshima C, Leontiadis GI, Tse F, Sadowski D: Clinical Practice Guidelines for the Use of Video Capsule Endoscopy. Gastroenterology 2017, 152(3):497-514.
9. Ohmiya N, Nakagawa Y, Nagasaka M, Tahara T, Shibata T, Nakamura M, Hirooka Y, Goto H, Hirata I: Obscure gastrointestinal bleeding: diagnosis and treatment. Dig Endosc 2015, 27(3):285-294.
10. Krstic SN, Martinov JB, Sokic-Milutinovic AD, Milosavljevic TN, Krstic MN: Capsule endoscopy is useful diagnostic tool for diagnosing Meckel's diverticulum. Eur J Gastroenterol Hepatol 2016, 28(6):702-707.
11. Friedlander JA, Liu QY, Sahn B, Kooros K, Walsh CM, Kramer RE, Lightdale JR, Khlevner J, McOmber M, Kurowski J et al: NASPGHAN Capsule Endoscopy Clinical Report. J Pediatr Gastroenterol Nutr 2017, 64(3):485-494.
12. Wu H, Zhao X, Li Y, Zhao R: Reconsideration of the primary and secondary diagnostic criteria of Meckel's diverticulum scintigraphy. A study of 93 confirmed cases. Hell J Nucl Med 2017, 20(1):11-16.
13. Wu H, Zhao R, Song Z, Kung BT, Zhao X: Elongated Appearance of Meckel's Diverticulum on 99mTcO4 Scintigraphy. Clin Nucl Med 2018, 43(7):559-560.
14. Shimada S, Watanabe T, Nadatani Y, Otani K, Taira K, Hosomi S, Nagami Y, Tanaka F, Kamata N, Yamagami H et al: Clinical factors associated with positive capsule endoscopy findings in patients with obscure gastrointestinal bleeding: a single-center study. Scand J Gastroenterol 2017, 52(11):1219-1223.
15. Lin L, Liu K, Liu H, Wu J, Zhang Y: Capsule endoscopy as a diagnostic test for Meckel's diverticulum. Scand J Gastroenterol 2019, 54(1):122-127.
16. Garcia-Compean D, Jimenez-Rodriguez AR, Del Cueto-Aguilera AN, Herrera-Quinones G, Gonzalez-Gonzalez JA, Maldonado-Garza HJ: Meckel's diverticulum diagnosis by video capsule endoscopy: A case report and review of literature. World J Clin Cases 2018, 6(14):791-799.
17. Day NJ, Fultz P, Marino D: Recurrent Small-Bowel Obstruction Caused by a Meckel's Diverticulum Diagnosed on Video Capsule Endoscopy. Clin Gastroenterol Hepatol 2016, 14(6):A21-A22.
18. Desai SS, Alkhouri R, Baker SS: Identification of meckel diverticulum by capsule endoscopy. J Pediatr Gastroenterol Nutr 2012, 54(2):161.
19. Zeisler B, Moyer SM, Farrell M, Collins MH, Tomer G: Electronic clinical challenges and images in GI. Meckel's diverticulum. Gastroenterology 2008, 134(4):e3-4.
20. Sokol H, Seksik P, Wendum D, Bellanger J, Parc Y, Cosnes J, Beaugerie L: Gastrointestinal bleeding diagnosed using video capsule endoscopy. Meckel's diverticulum. Gut 2009, 58(9):1206, 1290.
21. Xinias I, Mavroudi A, Fotoulaki M, Tsikopoulos G, Kalampakas A, Imvrios G: Wireless Capsule Endoscopy Detects Meckel's Diverticulum in a Child with Unexplained Intestinal Blood Loss. Case Rep Gastroenterol 2012, 6(3):650-659.
22. Mavrogenis G, Coumaros D, Bellocq JP, Leroy J: Detection of a polypoid lesion inside a Meckel's diverticulum using wireless capsule endoscopy. Endoscopy 2011, 43 Suppl 2 UCTN:E115-116.
23. Golder S, Schmidt J, Kolmsee P, Rosner K, Strik M, Mohren W, Weigert N: Identification of a Meckel's diverticulum by wireless capsule endoscopy. Endoscopy 2005, 37(6):608.
24. Montemaggi A, Paci M, Barp J, Milla M, Lionetti P: Circumferential peptic ulceration from Meckel diverticulum by capsule endoscopy. J Pediatr Gastroenterol Nutr 2012, 54(1):1.
25. Tanaka Y, Motomura Y, Akahoshi K, Nakama N, Osoegawa T, Kashiwabara Y, Chaen T, Higuchi N, Kubokawa M, Nishida K et al: Capsule endoscopic detection of bleeding Meckel's diverticulum, with capsule retention in the diverticulum. Endoscopy 2010, 42 Suppl 2:E199-200.
26. Yu H, Song H, Cai J: Laparoscopic treatment of hemorrhagic Meckel diverticulum after diagnosis with wireless capsule endoscopy and double-balloon enteroscopy. Rev Esp Enferm Dig 2017, 109(4):315.
27. Theillac M, Jouvet JC, Boussel L: Meckel's diverticulum revealed by microcytic anemia: the contribution of CT enteroclysis. Diagn Interv Imaging 2014, 95(6):625-627.
28. Hogan RB, 3rd, Pareek N, Phillips P, Haick A, Hogan RB, 2nd: Video capsule endoscopy in life-threatening GI hemorrhage after negative primary endoscopy (with video). Gastrointest Endosc 2009, 69(2):366-371.
29. Pastore S, Gortani G, Maschio M, Di Leo G, Ventura A: Two lumens, one diagnosis. J Pediatr 2011, 159(3):511.
30. Moon JH, Park CH, Kim JH, Jung JW, Kim JP, Kim KO, Yoo KS, Hahn T, Park SH, Park CK: Meckel's diverticulum bleeding detected by capsule endoscopy. Gastrointest Endosc 2006, 63(4):702, discussion 703.
31. Tabbers MM, Bruin KF, Taminiau JA, Norbruis OF, Benninga MA: An unexpected finding in a child with rectal blood loss using video capsule endoscopy. Eur J Pediatr 2006, 165(4):270-272.
32. Ciobanu L, Pascu O, Tantau M: Diagnosis of Meckel's Diverticulum Using Colon Capsule Endoscopy for Small Bowel Investigation. Clin Endosc 2018, 51(4):395-396.
Related articles

Letter

Blue rubber bleb nevus syndrome

DOI: 10.17235/reed.2023.9913/2023

Letter

Capsule endoscopy diagnosis of gastrointestinal melanoma

DOI: 10.17235/reed.2023.9803/2023

Letter

Isolated Jejunal Crohn's Disease: a challenging diagnosis

DOI: 10.17235/reed.2022.9423/2022

Digestive Diseases Image

Whipple’s disease – A typical endoscopic finding of a rare disease

DOI: 10.17235/reed.2022.9338/2022

Letter

Primary intestinal melanoma?

DOI: 10.17235/reed.2022.8944/2022

Digestive Diseases Image

Ileal neuroendocrine tumor as an uncommon cause of obscure gastrointestinal bleeding

DOI: 10.17235/reed.2022.8641/2022

Letter

Pneumatosis intestinalis in a pediatric patient

DOI: 10.17235/reed.2021.8482/2021

Digestive Diseases Image

Duodenal-type follicular lymphoma: a silent tumor

DOI: 10.17235/reed.2021.8149/2021

Letter

Bochdalek hernia: use of capsule endoscopy

DOI: 10.17235/reed.2021.7760/2020

Digestive Diseases Image

Endoscopic forceps removal for complicated magnetic beads impaction

DOI: 10.17235/reed.2021.7731/2020

Digestive Diseases Image

Jejunal schwannoma detected by video capsule endoscopy

DOI: 10.17235/reed.2020.6474/2019

Digestive Diseases Image

Capsule endoscopy, a useful tool for the diagnosis of a tapeworm infection

DOI: 10.17235/reed.2019.6346/2019

Letter

Use of patency capsule in daily practice

DOI: 10.17235/reed.2019.5952/2018

Letter to the Editor

Inverted Meckel’s diverticulum in an adult patient diagnosed via capsule endoscopy

DOI: 10.17235/reed.2018.5347/2017

Digestive Diseases Image

Metastasis of dermatofibrosarcoma diagnosed by capsule endoscopy

DOI: 10.17235/reed.2018.4900/2017

Letter to the Editor

Symptomatic retention of the Agile® patency capsule

DOI: 10.17235/reed.2017.4691/2016

Letter to the Editor

Meckel’s diverticulum perforated by a fishbone. An unusual presentation

DOI: 10.17235/reed.2017.4614/2016

Letter to the Editor

Whipple’s disease under the vision of capsule endoscopy

DOI: 10.17235/reed.2016.4362/2016

Letter to the Editor

Asymptomatic bronchial aspiration of capsule endoscope: a significant complication

DOI: 10.17235/reed.2016.4363/2016

Letter to the Editor

An unusual etiology of abdominal pain in children

DOI: 10.17235/reed.2016.4168/2015

Case Report

Atypical diagnosis diagnosis by endoscopic capsule: Whipple´s disease

DOI: 10.17235/reed.2015.3718/2015

Citation tools
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


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1457 visits.
This article has been downloaded 294 times.

Statistics from Dimensions


Statistics from Plum Analytics

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


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology