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Gastroenterology Research and Practice
Volume 2017, Article ID 7940851, 5 pages
https://doi.org/10.1155/2017/7940851
Research Article

Bleeding Meckel’s Diverticulum in Children: The Diagnostic Value of Double-Balloon Enteroscopy

1Jinan University, Guangzhou, Guangdong, China
2Department of Gastroenterology, Guangzhou Women and Children’s Medical Center of Guangzhou Medical University, Guangzhou, Guangdong, China
3Division of Gastroenterology, Children’s Mercy Hospital, Kansas City, MO, USA

Correspondence should be addressed to Ding-You Li; ude.hmc@ilyd, Min Yang; moc.qq@027954372, and Si-Tang Gong; moc.621@ggnatis

Received 30 October 2016; Accepted 19 January 2017; Published 22 March 2017

Academic Editor: Jean F. Rey

Copyright © 2017 Lan-Lan Geng et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. The purpose of this study was to evaluate the diagnostic value and safety of double-balloon enteroscopy (DBE) for bleeding MD in children. Methods. We included consecutive children who were highly suspected of MD between 2012 and 2013. All patients underwent Meckel’s scan. DBE was performed for patient with negative Meckel’s scan. An exploratory laparoscopy was performed in children with positive Meckel’s scan or DBE. Results. 42 patients met the inclusion criteria. 40 patients were confirmed to have MD by exploratory laparoscopy. Meckel’s scan was positive in 36 and negative in 6, with 34 as true positives and 2 as false positives. Six patients with negative Meckel’s scan were found to have MD by retrograde DBE and had immediate operation. The distance from the diverticulum to the ileocecal valve was 40 to 60 cm. Ectopic gastric mucosa was present in all 6 patients (100%). After operation, patients were followed in clinic for 20 to 42 months and no evidence of GI bleeding or recurrent anemia was observed. Conclusions. Double-balloon enteroscopy can be a reliable diagnostic tool for bleeding Meckel’s diverticulum in children with negative Meckel’s scan.