Bleeding Meckel′s diverticulum diagnosed and treated by double-balloon enteroscopy

Abstract

Meckel′s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal (GI) tract. The diagnosis of symptomatic MD has been cumbersome. Several case reports been published regarding direct visualization of MD with double balloon enteroscopy (DBE); diagnosing a bleeding MD leading to surgical resection. We report the use of DBE for the treatment of a bleeding MD.

Keywords

Balloon - bleeding - double - endoscopy - Meckel′s

• References

• 1 Gasbarrini A, Di Caro S, Mutignani M, Cammarota G, Fini L, Pacelli F. Double-balloon enteroscopy for diagnosis of a Meckel′s diverticulum in a patient with GI bleeding of obscure origin. Gastrointest Endosc 2005;61:779-81.
• 2 Shinozaki S, Yamamoto H, Ohnishi H, Kita H, Yano T, Iwamoto M, et al. Endoscopic observation of Meckel′s diverticulum by double balloon endoscopy: Report of five cases. J Gastroenterol Hepatol 2008;23:e308- 11.
• 3 Yamamoto H, Sekine Y, Sato Y, Higashizawa T, Miyata T, Iino S, et al. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc 2001;53:216-20.
• 4 Townsend CM, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston Textbook of Surgery. 18th ed. Philadelphia, PA: Elsevier; 2008. p. 1323.
• 5 Manner H, May A, Nachbar L, Ell C. Push-and-pull enteroscopy using the double-balloon technique (double-balloon enteroscopy) for the diagnosis of Meckel′s diverticulum in adult patients with GI bleeding of obscure origin. Am J Gastroenterol 2006;101:1152-4.
• 6 Gölder S, Schmidt J, Kolmsee P, Rösner K, Strik M, Mohren W, et al. Identification of a Meckel′s diverticulum by wireless capsule endoscopy. Endoscopy 2005;37:608.
• 7 Mylonaki M, MacLean D, Fritscher-Ravens A, Swain P. Wireless capsule endoscopic detection of Meckel′s diverticulum after nondiagnostic surgery. Endoscopy 2002;34:1018-20.
• 8 Hadithi M, Heine GD, Jacobs MA, van Bodegraven AA, Mulder CJ. A prospective study comparing video capsule endoscopy with doubleballoon enteroscopy in patients with obscure gastrointestinal bleeding. Am J Gastroenterol 2006;101:52-7.
• 9 Ohnita K, Isomoto H, Mizuta Y, Akazawa S, Akazawa Y, Ohba K, et al. Meckel′s diverticulum diagnosed by double-balloon enteroscopy. Endoscopy 2007;39 Suppl 1:E146-7.