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Meckel's Diverticulum
Everything in the library about Meckel's diverticulum — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Evidence & Research
2 items
Journal of Pediatric Surgery Article Review: September 2021
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We're highlighting three articles from the September 2021 issue of the Journal of Pediatric Surgery. We review the articles with Dr. Mikko Pakarinen (JPS Editor for Europe), Dr. Todd Ponsky, and two of the authors from one of the articles (
podcast11:16 · Oct 2021
Journal of Pediatric Surgery Article Review: September 2021
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video11:16 · Jun 2026
Case-Based Learning
1 item
Bleeding Meckel's Diverticulum: Update Course 2015
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During the 3rd Annual Stay Current in Pediatric Surgery Update Course in 2015, Dr. Nicholas Bruns leads the discussion on management ofbleeding Meckel's Diverticulum. Topics discussed include use of proton pump inhibitors for bleeding cessa
video4:26 · Jan 2019
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Bleeding Meckel's Diverticulum: Update Course 2015
PPI therapy will stop bleeding from a Meckel's diverticulum.
clinical1:15 ↗
Bleeding Meckel's diverticulum should never be an emergency operation.
opinion1:15 ↗
Bill Gazetta taught that the ulcers in bleeding Meckel's diverticulum are located within the Meckel's itself, not in the adjacent small bowel.
host_summary2:19 ↗
After stapling off a Meckel's diverticulum, the bleeding ulcer is still present and the patient may continue bleeding for the next day.
clinical2:30 ↗
Removing the Meckel's diverticulum eliminates the source of acid causing the ulcer, analogous to performing vagotomy for duodenal ulcer.
clinical2:39 ↗
The bleeding ulcer is almost always at the tip of the Meckel's diverticulum.
clinical2:58 ↗
When stapling a Meckel's diverticulum laparoscopically, pulling it up to staple creates a tendency to encroach onto the bowel.
clinical3:32 ↗
Pulling a Meckel's diverticulum out through the umbilicus and marking the resection line without tension prevents distortion of anatomy.
clinical3:32 ↗
With a linear staple line across a Meckel's base, slight impingement on the bowel does not matter because the bowel will dilate out, unless a huge stricture is created.
clinical3:57 ↗
Journal of Pediatric Surgery Article Review: September 2021
A Chinese randomized multi-center trial of 156 neonates who underwent surgery for gastrointestinal malformation with intestinal anastomosis compared early internal feeding versus traditional nasogastric decompression.
host_summaryRod Gerardo0:44 ↗
The early feeding group started feeds at 2 days compared to 6 days in the traditional feeding group.
host_summaryRod Gerardo0:44 ↗
There was no significant difference between early and traditional feeding groups in length of stay, time to full feeds, postoperative complications, 30-day mortality, or 30-day readmissions.
host_summaryRod Gerardo0:44 ↗
Although there is evidence that early feeding in adult patients after intestinal surgery is beneficial, the authors did not find any benefit in neonates.
clinicalMick Kakaran2:37 ↗
In the early feeding group, patients did not have a decompressing nasogastric tube, suggesting nasogastric decompression is not needed after neonatal intestinal anastomosis.
host_summaryRod Gerardo3:06 ↗
A Utah study examined patients under age 18 who presented with hematochezia to identify which factors predict Meckel diverticulum and created a risk score.
host_summaryRod Gerardo3:06 ↗
Babies with blood in their stool causing a decrease in hemoglobin has always been a red flag sign for Meckel diverticulum.
clinicalMick Kakaran3:06 ↗
The Meckel score could help clinicians skip the Meckel scan and go straight to laparoscopy in high-score patients, even with a negative scan.
host_summaryRod Gerardo3:06 ↗
A Cincinnati Children's study examined children aged 0-18 within a 15-mile radius who presented with perianal symptoms (abscess, fissure, fistula) to determine how often this represents Crohn disease.
clinicalIris Lim Butel7:23 ↗
Overall, 3% of children presenting with perianal symptoms were diagnosed with Crohn disease.
epidemiologicalIris Lim Butel9:02 ↗
No children under age 1 with perianal abscess ended up having Crohn disease within the study period.
epidemiologicalIris Lim Butel9:02 ↗
Higher rates of Crohn disease were seen in older children, particularly over age 10, among those presenting with perianal symptoms.
epidemiologicalJulian Goddard9:16 ↗
Many patients in the study had fissures, which are very common in children and may have been managed as outpatients.
clinicalIris Lim Butel9:41 ↗
Under age 10, clinicians do not need to worry about doing a workup for Crohn disease in children with perianal symptoms; over age 10, they should.
host_summaryRod Gerardo10:06 ↗
Quite a few children with Crohn disease present with perirectal abscess rather than typical GI symptoms like abdominal pain and diarrhea.
clinical10:23 ↗
In the Chinese study, the early feeding group started feeds at 2 days compared to 6 days for the traditionally fed group
host_summaryEllen Encisco2:00 ↗
There was no significant difference between early and traditional feeding groups in length of stay, time to full feeds, postoperative complications, 30-day mortality, or 30-day readmissions
host_summaryEllen Encisco2:14 ↗
Although there is evidence that early feeding in adult patients after intestinal surgery is beneficial, the authors didn't find any benefit in neonates
clinical2:53 ↗
In the early feeding group, patients did not have a decompressing nasogastric tube
clinicalTodd3:11 ↗
Nasogastric decompression is not needed after an anastomosis in neonates
opinionTodd3:19 ↗
The two groups had the same outcomes despite one group not having NG decompression, indicating NG tubes are not necessary after baby anastomosis
clinicalTodd3:55 ↗
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