Analysis of Meckel's diverticulum bleeding diagnosed and treated by double-balloon enteroscopy in 11 young patients
Abstract：Objective To explore the clinical application value of double-balloon enteroscopy ( DBE) in diagnosis and treatment of Meckel's diverticulum ( MD) bleeding in young patients. Methods The clinical data of MD bleeding in 11 young patients who were diagnosed and treated with DBE in the hospital between July 2010 and April2018 were retrospectively analyzed. Results ( 1) The 11 patients came to the hospital for consultation because of repeated defecation of black stool or bloody stool. The small bowel bleeding or MD bleeding was considered by some examinations, while ileal diverticulum and bleeding lesions were found and MD bleeding was diagnosed by DBE. ( 2) One case of hemorrhagic diverticulitis was completed DBE microscopic hemostasis. One case of ileal artery hemorrhage underwent interventional therapy. Eleven patients eventually receiving laparoscopic surgery were improved and discharged. ( 3) DBE biopsy was performed in 6 cases and their diagnoses were consistent with the postoperative pathological results in 4 cases. ( 4) The patients were followed up untill April 2018. During the follow-up 2 cases were lost and 9 cases had no recurrent bleeding. Conclusion ( 1) MD bleeding can be directly detected and the size and shape of MD can be observed by DBE, and MD bleeding can be treated with microscopic hemostasis. ( 2) The radical treatment for MD bleeding is surgery, especially laparoscopic surgery, which has a good long-term effect.
Keywords：Young patientsMeckel&aposs diverticulum (MD) bleedingDouble-balloon enteroscopy (DBE)Laparoscopic surgery
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 167-171 )