Surgical management of Meckel's diverticulum. An epidemiologic, population-based study

Joseph J Cullen; Keith A Kelly; Christopher R Moir; David O Hodge; Alan R Zinsmeister; L Joseph Melton III

doi:10.1097/00000658-199410000-00014

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Surgical management of Meckel's diverticulum. An epidemiologic, population-based study

Journal article

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Surgical management of Meckel's diverticulum. An epidemiologic, population-based study

Joseph J Cullen, Keith A Kelly, Christopher R Moir, David O Hodge, Alan R Zinsmeister and L Joseph Melton III

Annals of surgery, Vol.220(4), pp.564-569

10/1994

DOI: 10.1097/00000658-199410000-00014

PMCID: PMC1234434

PMID: 7944666

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1234434View

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Abstract

OBJECTIVE: The authors determined whether Meckel's diverticulum, discovered incidentally at operation, should be removed. SUMMARY BACKGROUND DATA: It is not clear from the medical literature whether the risk of an incidental Meckel's diverticulectomy is greater than the risk of leaving the diverticulum in place. METHODS: The authors used the medical experience of Olmsted County, Minnesota residents for the period 1950 to 1992 to answer the question. RESULTS: During the period, 58 residents developed Meckel's complications that required diverticulectomies. The incidence of complications was 87 per 100,000 person-years, and the lifetime risk (to 80 years of age) of developing them was 6.4%. The risks were similar throughout the period and at all ages of life, but were greater among men (124 per 100,000 person-years) than women (50 per 100,000 person-years, p < 0.05). Diverticulectomies for complications carried an operative mortality and morbidity of 2% and 12% and a cumulative risk of long-term postoperative complications of 7%, whereas incidental diverticulectomies done in 87 residents during the period carried corresponding rates of only 1%, 2%, and 2%, respectively. CONCLUSIONS: Meckel's diverticula discovered incidentally at operation should be removed for most patients, regardless of age.

Details

Title: Subtitle: Surgical management of Meckel's diverticulum. An epidemiologic, population-based study
Creators: Joseph J Cullen - Department of Surgery, Mayo Clinic, Rochester, Minnesota
Keith A Kelly - Department of Surgery, Mayo Clinic, Rochester, Minnesota
Christopher R Moir - Department of Surgery, Mayo Clinic, Rochester, Minnesota
David O Hodge - Department of Surgery, Mayo Clinic, Rochester, Minnesota
Alan R Zinsmeister - Department of Surgery, Mayo Clinic, Rochester, Minnesota
L Joseph Melton III - Department of Surgery, Mayo Clinic, Rochester, Minnesota
Resource Type: Journal article
Publication Details: Annals of surgery, Vol.220(4), pp.564-569
DOI: 10.1097/00000658-199410000-00014
PMID: 7944666
PMCID: PMC1234434
NLM abbreviation: Ann Surg
ISSN: 0003-4932
eISSN: 1528-1140
Language: English
Date published: 10/1994
Academic Unit: Surgery; Radiation Oncology
Record Identifier: 9984051527402771

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