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Laparoscopic Meckel’s Diverticulectomy

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Abstract

Meckel’s diverticulum (MD) is the most common congenital anomaly found in the GI tract. It is a remnant of the omphalomesenteric duct that normally obliterates between weeks 5 and 7 of fetal development. It is usually found incidentally during surgical exploration for other pathologies, and it is symptomatic in less than 5 % of people. The most common presenting symptom is painless rectal bleeding, due to ectopic gastric mucosa causing ulceration of the adjacent ileum. This ectopic gastric mucosa is often diagnosed using a Meckel’s technetium scan. Other presenting symptoms are obstruction and diverticulitis. Meckel’s diverticulum is managed by complete resection of the diverticulum, removing all ectopic tissue. This chapter discusses the pathophysiology and clinical evaluation of MD but will predominantly focus on surgical management and laparoscopic technique. This chapter also discusses the controversy of regarding resection of incidentally found MD.

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Author information

Authors and Affiliations

  1. Pediatric Surgery, Department of Surgery, East Carolina University, Greenville, NC, USA

    David Rodeberg

  2. General Surgery Department, East Carolina University, Greenville, NC, USA

    Sophia Abdulhai

Authors
  1. David Rodeberg
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  2. Sophia Abdulhai
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Corresponding author

Correspondence to David Rodeberg .

Editor information

Editors and Affiliations

  1. Division of Pediatric Surgery, East Carolina University Brody School of Medicine, Greenville, North Carolina, USA

    Danielle S. Walsh

  2. Northeast Ohio Medical College Division of Pediatric Surgery, Akron Children’s Hospital, Akron, Ohio, USA

    Todd A. Ponsky

  3. Division of Pediatric Surgery, Akron Children’s Hospital, Akron, Ohio, USA

    Nicholas E. Bruns

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Rodeberg, D., Abdulhai, S. (2017). Laparoscopic Meckel’s Diverticulectomy. In: Walsh, D., Ponsky, T., Bruns, N. (eds) The SAGES Manual of Pediatric Minimally Invasive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-43642-5_31

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  • DOI: https://doi.org/10.1007/978-3-319-43642-5_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43640-1

  • Online ISBN: 978-3-319-43642-5

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