Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)

Background and Aims. Patients with Meckel’s diverticulum (MD) are difficult to preoperatively diagnose because of its endoscopic inaccessibility. Balloon-assisted enteroscopy (BAE) allows endoscopic access to the entire small intestine. The aim of the current study was to investigate patients with M...

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Autores principales:	Jen-Wei Chou, Chen-Shuan Chung, Tien-Yu Huang, Chia-Hung Tu, Chen-Wang Chang, Chung-Hsin Chang, Yen-Po Wang, Wen-Hung Hsu, Hsu-Heng Yen, Chia-Jung Kuo, Chiao-Hsiung Chuang, Ching-Pin Lin, Tzung-Jiun Tsai, Ming-Yao Su, Horng-Yuan Wang, Deng-Chyang Wu, Cheng-Tang Chiu
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/f2662c9619a8403f9ca1b81a973def7f
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spelling	oai:doaj.org-article:f2662c9619a8403f9ca1b81a973def7f2021-11-29T00:55:57ZMeckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)1687-630X10.1155/2021/9574737https://doaj.org/article/f2662c9619a8403f9ca1b81a973def7f2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/9574737https://doaj.org/toc/1687-630XBackground and Aims. Patients with Meckel’s diverticulum (MD) are difficult to preoperatively diagnose because of its endoscopic inaccessibility. Balloon-assisted enteroscopy (BAE) allows endoscopic access to the entire small intestine. The aim of the current study was to investigate patients with MD diagnosed by BAE in Taiwan. Methods. We conducted a retrospective, multicenter study of patients with MD who were diagnosed by BAE in Taiwan. The clinical characteristics, endoscopic features, histopathological findings, treatment methods, and outcomes were analyzed. Results. A total of 55 patients with MD were enrolled (46 males and 9 females). The mean age at diagnosis was 34.1 years. Overt gastrointestinal bleeding (87.3%) was the primary indication for BAE, followed by abdominal pain (9.1%), suspected small bowel tumor (1.8%), and Crohn’s disease follow-up (1.8%). The mean distance between the ileocecal valve and MD was 71.6 cm (regarding diagnostic yields: BAE—100%, capsule endoscopy—40%, Meckel’s scan—35.7%, computed tomography—14.6%, small bowel series—12.5%, and angiography—11.1%; regarding endoscopic features of MD: a large ostium—89.1%, a small ostium—7.3%, and a polypoid mass—3.6%). Surgical treatment was performed in 76.4% patients, and conservative treatment was performed in 23.6% patients. The mean length of MD in 42 patients who underwent surgical resection was 5.2 cm (in 43 patients of MD with available histopathology: heterotopic gastric tissue, 42.4%, heterotopic gastric and pancreatic tissues, 7%; heterotopic pancreatic tissue, 4.7%; heterotopic colonic tissue, 2.3%; and a neuroendocrine tumor, 2.3%). Conclusions. The current study showed BAE is a very useful modality for detecting MD compared with other conventional modalities.Jen-Wei ChouChen-Shuan ChungTien-Yu HuangChia-Hung TuChen-Wang ChangChung-Hsin ChangYen-Po WangWen-Hung HsuHsu-Heng YenChia-Jung KuoChiao-Hsiung ChuangChing-Pin LinTzung-Jiun TsaiMing-Yao SuHorng-Yuan WangDeng-Chyang WuCheng-Tang ChiuHindawi LimitedarticleDiseases of the digestive system. GastroenterologyRC799-869ENGastroenterology Research and Practice, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Diseases of the digestive system. Gastroenterology RC799-869 Jen-Wei Chou Chen-Shuan Chung Tien-Yu Huang Chia-Hung Tu Chen-Wang Chang Chung-Hsin Chang Yen-Po Wang Wen-Hung Hsu Hsu-Heng Yen Chia-Jung Kuo Chiao-Hsiung Chuang Ching-Pin Lin Tzung-Jiun Tsai Ming-Yao Su Horng-Yuan Wang Deng-Chyang Wu Cheng-Tang Chiu Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)
description	Background and Aims. Patients with Meckel’s diverticulum (MD) are difficult to preoperatively diagnose because of its endoscopic inaccessibility. Balloon-assisted enteroscopy (BAE) allows endoscopic access to the entire small intestine. The aim of the current study was to investigate patients with MD diagnosed by BAE in Taiwan. Methods. We conducted a retrospective, multicenter study of patients with MD who were diagnosed by BAE in Taiwan. The clinical characteristics, endoscopic features, histopathological findings, treatment methods, and outcomes were analyzed. Results. A total of 55 patients with MD were enrolled (46 males and 9 females). The mean age at diagnosis was 34.1 years. Overt gastrointestinal bleeding (87.3%) was the primary indication for BAE, followed by abdominal pain (9.1%), suspected small bowel tumor (1.8%), and Crohn’s disease follow-up (1.8%). The mean distance between the ileocecal valve and MD was 71.6 cm (regarding diagnostic yields: BAE—100%, capsule endoscopy—40%, Meckel’s scan—35.7%, computed tomography—14.6%, small bowel series—12.5%, and angiography—11.1%; regarding endoscopic features of MD: a large ostium—89.1%, a small ostium—7.3%, and a polypoid mass—3.6%). Surgical treatment was performed in 76.4% patients, and conservative treatment was performed in 23.6% patients. The mean length of MD in 42 patients who underwent surgical resection was 5.2 cm (in 43 patients of MD with available histopathology: heterotopic gastric tissue, 42.4%, heterotopic gastric and pancreatic tissues, 7%; heterotopic pancreatic tissue, 4.7%; heterotopic colonic tissue, 2.3%; and a neuroendocrine tumor, 2.3%). Conclusions. The current study showed BAE is a very useful modality for detecting MD compared with other conventional modalities.
format	article
author	Jen-Wei Chou Chen-Shuan Chung Tien-Yu Huang Chia-Hung Tu Chen-Wang Chang Chung-Hsin Chang Yen-Po Wang Wen-Hung Hsu Hsu-Heng Yen Chia-Jung Kuo Chiao-Hsiung Chuang Ching-Pin Lin Tzung-Jiun Tsai Ming-Yao Su Horng-Yuan Wang Deng-Chyang Wu Cheng-Tang Chiu
author_facet	Jen-Wei Chou Chen-Shuan Chung Tien-Yu Huang Chia-Hung Tu Chen-Wang Chang Chung-Hsin Chang Yen-Po Wang Wen-Hung Hsu Hsu-Heng Yen Chia-Jung Kuo Chiao-Hsiung Chuang Ching-Pin Lin Tzung-Jiun Tsai Ming-Yao Su Horng-Yuan Wang Deng-Chyang Wu Cheng-Tang Chiu
author_sort	Jen-Wei Chou
title	Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)
title_short	Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)
title_full	Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)
title_fullStr	Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)
title_full_unstemmed	Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)
title_sort	meckel’s diverticulum diagnosed by balloon-assisted enteroscopy: a multicenter report from the taiwan association for the study of small intestinal diseases (tassid)
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/f2662c9619a8403f9ca1b81a973def7f
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Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)

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