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首页> 外文期刊>Endoscopy International Open >Specific characteristics of hemorrhagic Meckel’s diverticulum at double-balloon endoscopy
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Specific characteristics of hemorrhagic Meckel’s diverticulum at double-balloon endoscopy

机译：双气囊内镜下出血性梅克尔憩室的特殊特征

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Background and study aims?Diagnosis of Meckel’s diverticulum (MD) before surgery may be challenging; double-balloon endoscopy (DBE) facilitates identification of MD in the setting of a gastrointestinal bleeding; however, MD can be found incidentally without this condition. The purpose of this research was to determine specific characteristic of hemorrhagic MD and incidental MD at DBE. Patients and methods?Ectopic gastric mucosa enclosed in the MD and/or ulceration were defined as “major findings”; ring-like scar surrounding the MD was defined as “minor finding”. We retrospectively reviewed the medical records of patients affected by MD and analyzed the findings that significantly affected the characterization of MD. Results?MD was diagnosed in 33 patients. The axis of the diverticulum was longer in hemorrhagic MD compared to incidental MD (P?=?0.031). The amount of transfusion was significantly higher (P?=?0.018) in the hemorrhagic MD group.?Hemorrhagic MD was significantly more correlated with major findings (P?=?0.01) and minor findings (P?
机译：背景和研究目的？手术前对梅克尔憩室（MD）的诊断可能具有挑战性;双气囊内窥镜检查（DBE）有助于在胃肠道出血的情况下识别MD;但是，在没有这种情况的情况下，可以偶然找到MD。这项研究的目的是确定DBE出血性MD和偶然性MD的特定特征。患者和方法？封闭在MD和/或溃疡中的异位胃粘膜被定义为“主要发现”。 MD周围的环状疤痕被定义为“次要发现”。我们回顾性地回顾了受MD影响的患者的病历，并分析了显着影响MD表征的发现。结果：确诊33例患者。出血性MD的憩室轴长于偶然性MD（P≥0.031）。出血MD组的输血量显着更高（P <= 0.018）。出血MD与主要发现（P <= 0.01）和次要发现（P 0.01）显着相关。主要发现的特异性为100％，主要和/或次要发现的敏感性为96％。结论：主要和次要发现的结合似乎可以提高出血性MD的诊断能力，避免不必要的憩室切除术。

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