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DOI: 10.1055/s-0042-1744627
CAPSULE ENDOSCOPY IN PATIENTS WITH MECKEL`S DIVERTICULUM- CLINICAL FEATURES AND DIAGNOSTIC FINDINGS – A EUROPEAN MULTICENTRE STUDY
Aims Evaluation of indicative capsule endoscopy (CE) findings in patients with diagnosis of Meckel`s diverticulum (MD) in context of clinical presentation.
Methods Patients with findings suggestive of MD on CE from 2001 until July 2021 were submitted by 22 European Centres. Data was analysed retrospectively.
Results 69 patients with confirmed MD were included. Definite diagnosis of MD following CE was made by surgery (80%), endoscopy (14%) or Meckel-Scan (6%). Mean age was 38.9 (+/- 20.5) years with a male-to-female ratio of 3:1. Gastrointestinal bleeding was the main reason for presentation (59/69 patients, 86%), mean haemoglobin was 7.7 (+/- 1.8) g/dl with a transfusion rate of 52%. Typical CE findings were double lumen (71%), visible entrance of MD (71%), webs (43%) and bulges (28%), showing two or more typical findings in 48/69 patients (70%). Ulcers in or next to MD were detected in 48%. Blood was noted in 29%. A combination of double lumen and visible entrance of MD was evident in 64%, additionally showing ulcers in 25 patients (36%). The mean small bowel transit time at which MD was noted was 57%.
Conclusions Diagnosis of MD may be challenging as MD is rare and no preoperative gold standard investigation exists. Gastrointestinal bleeding, younger age at diagnosis and male gender are clinical factors that may point to the existence of MD. A double lumen sign and visible entrance of MD are the most frequent CE findings. Additionally, ulcers and blood can be evident at CE. A combination of these findings may support diagnosis of MD.
Publication History
Article published online:
14 April 2022
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