Meckel’s diverticulum

Gl obstruction (Concerts only) Because the Concerts tablet is nondeformable and does not appreciably change shape in the Gl tract, do not administer to patients with pre-existing severe Gl narrowing (eg, small bowel inflammatory disease, short gut syndrome because of adhesions or decreased transit time, history of peritonitis, cystic fibrosis, chronic intestinal pseudo-obstruction, Meckel s diverticulum). 

Peptic ulceration occurs as an acute or chronic non-traumatic epithelial breach typically in the gastric or duodenal mucosa, but also in the oesophagus (see above) and occasionally in the small intestine with the Zollinger-Ellison syndrome of gastrin overproduction or with an acid-secreting Meckel s diverticulum. Symptoms overlap with those of non-ulcer dyspepsia and cancer and the diagnostic cornerstone is endoscopy. Biopsy may be necessary to distinguish ulcer from cancer. 

Burrull-Madero MA, Del-Villar-Ruiz A, Grau-Cerrato S, Andreu-Garcia M, Goday-Arno A. Digestive hemorrhage caused by a Meckel s diverticulum in a metformin-treated patient is there any connection Pharm World Sci 2001 23(3) 120-1. 

Bleeding from a Meckel s diverticulum has been described with oral ibuprofen (SEDA-17,110). 

To diagnose ectopic gastric mucosa (Meckel s diverticulum)... 

Meckel s diverticulum scintigraphy should commence immediately after intravenous injection and at regular intervals up to 30 min. 

Meckel s diverticulum nuclear scan MUGA scan Octreotide scan Oncoscint scan... 

Types of Enema Therapies 43 Appendicitis 46 Appendicitis Imaging 47 Small Bowel Obstruction 56 Midgut Volvulus 58 Meckel s Diverticulum 59 Enteritis 60... 

Besides perforated appendicitis and intussusception, the most common causes of small howel obstruction are incarcerated hernias and adhesions. Other causes of small bowel obstruction comprise a miscellaneous group of rare conditions, such as midgut volvulus, Meckel s diverticulum, advanced stages of Crohn s disease, and bezoars. Adhesions usually result from prior surgery and are often multiple. There is an increasing tendency for initial conservative management rather than immediate operative intervention, as a proportion of cases will resolve spontaneously. 

Meckel s diverticulum is a remnant of the omphalomesenteric duct. It is located in the antimesen-... 

Fig. 5.13. Lead-point lesion in intussusception, a Adenomatous polyp, b Inflammatory polyp, c Inverted Meckel s diverticulum seen as cystic mass...

In children, localized gastrointestinal bleeding is usually secondary to duodenal ulcer and less frequently to gastric ulcer, Meckel s diverticulum, and vascular malformations. Diffuse bleeding can occur in vasculitis and coagulopathy. 

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