Title Meckelov divertikul u djece
Title (english) Meckel’s diverticulum in children
Author Dionora Roce
Mentor Harry Nikolić (mentor)
Committee member Nado Bukvić (predsjednik povjerenstva)
Committee member Ana Bosak Veršić (član povjerenstva)
Committee member Srećko Severinski (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Surgery) Rijeka
Defense date and country 2021, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Surgery
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Pediatrics
Abstract Meckelov divertikul je najčešća kongenitalna anomalija probavnog trakta, uz koju se veže „pravilo dvojke“. Nastaje nepotpunom obliteracijom omfalomezenteričnog kanala, poveznice primitivnog crijeva i žumanjčane vreće. Postoji široki spektar anomalija nastalih poremećajem obliteracije omfalomezenteričnog kanala, a Meckelov divertikul čini najčešću od njih. U pravilu se radi o asimptomatskoj malformaciji koja je prisutna u 2 % opće populacije s cjeloživotnim rizikom od razvoja komplikacija između 4,2 i 9 %. Komplikacije se u pravilu javljaju unutar dječje dobi, s medijanom pojave oko pete godine života. Crijevna opstrukcija, bezbolno krvarenje donjeg gastrointestinalnog trakta i divertikulitis s mogućom perforacijom najčešći su uzroci razvoja simptoma Meckelovog divertikula. Preoperativna dijagnostika ima nisku sposobnost detekcije Meckelovog divertikula zbog čega simptomatski pacijenti često bivaju podvrgnuti laparoskopiji kao dijagnostičkoj, ali ujedno i terapijskoj metodi. U slučaju pronalaska asimptomatskog Meckelovog divertikula slikovnom dijagnostičkom metodom ne preporuča se njegovo odstranjenje, dok se individualizirani pristup provodi u slučaju vizualizacije nepromijenjenog Meckelovog divertikula tijekom operativnog zahvata sukladno prisutnim čimbenicima rizika. Kirurška resekcija, to jest, divertikulektomija, klinasta ekscizija ili parcijalna resekcija crijeva indicirane su u slučaju razvoja komplikacija Meckelovog divertikula.
Abstract (english) Meckel’s diverticulum is the most common congenital anomaly of the digestive tract, to which the „rule of two’s“ is attached. It is caused by the incompletion of obliteration of the omphalomesenteric duct which connects the primitive intestine and the yolk sac. There is a wide range of anomalies developed by the incompletion of obliteration of the omphalomesenteric duct, and Meckel’s diverticulum is the most common one. In principle, it is an asymptomatic malformation that is present in 2 % of the population, with a lifelong risk of developing complications between 4,2 and 9 %. Usually complications occur during the childhood, in average, around the age of five. Intestinal obstruction, painless bleeding of the lower gastrointestinal tract and diverticulitis with possible perforation are the most common causes of Meckel’s diverticulum symptoms development. Preoperative diagnostics have a low ability to detect Meckel’s diverticulum, which is why symptomatic patients often undergo laparoscopy as a diagnostic but also therapeutic method. If an asymptomatic Meckel’s diverticulum is found by the imaging diagnostic method, it is not recommended to remove it. Rather, an individualized approach is carried out in case of visualization of the unchanged Meckel’s diverticulum during surgery, in accordance with the risk factors present. Surgical resection, by the process of diverticulectomy, wedge excision or segmental bowel resection, is indicated if complications of Meckel’s diverticulum develop.
Keywords
asimptomatičnost
crijevna opstrukcija
divertikulitis
ductus omphalomesentericus
gastrointestinalno krvarenje
kirurška resekcija
laparoskopija
Meckelov divertikul
Keywords (english)
asymptomatic
diverticulitis
gastrointestinal bleeding
intestinal obstruction
laparoscopy
Meckel’s diverticulum
omphalomesenteric ductus
surgical resection
Language croatian
URN:NBN urn:nbn:hr:184:534428
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2021-06-28 09:43:36