ReviewFrontiers in surgery2018
Meckel's Diverticulum in Adults: Surgical Concerns.
Review in Frontiers in surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
60 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Laparoscopic diverticulectomy or laparoscopic-assisted resection of symptomatic Meckel diverticulum in children? A systematic review.Pediatric surgery international · 2020Pooled it
- Imaging of ectopic gastric mucosa in Meckel's diverticulum: A case report and literature review.Radiology case reports · 2026Article
- Acute lower gastrointestinal bleeding from Meckel's diverticulum in a young adult: a case report on surgical management.International journal of surgery case reports · 2026Article
- Synchronous ileo-ileal and ileocolic intussusception caused by an inverted giant Meckel's diverticulum in an adult: a rare case report.International journal of surgery case reports · 2026Article
- A case report of coexistence of acute appendicitis and Meckel's diverticulitis causing generalized acute peritonitis.International journal of surgery case reports · 2026Article
- Clinical and Anatomical Spectrum of Meckel's Diverticulum: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2026Review
- When Meckel's diverticulum mimics malignancy: a case report of massive enterolithiasis in an adult patient.International journal of surgery case reports · 2026Article
- A case report of double Meckel's diverticulum with a mobile cecum.BMC surgery · 2026Article
- A Rare Case of Giant Meckel's Diverticulum in an Adult: Diagnostic and Therapeutic Challenges.Cureus · 2026Article
- Meckel's Diverticulum Causing Small-Bowel Volvulus in an Elderly Patient: A Case Report.Cureus · 2026Article
- Meckel's Diverticulum as a Rare Etiology of Small-Bowel Obstruction in an Otherwise Healthy Adult: A Case Report.Cureus · 2026Article
- Atypical presentation of Meckel's diverticulum in late childhood with dual ectopic gastric and pancreatic mucosa: a case report.Journal of surgical case reports · 2026Article
- Perforated Meckel's diverticulum: A rare evolution from diverticulitis to sepsis.Radiology case reports · 2026Article
- Inverted U-shaped relationship between diverticular width and gastrointestinal bleeding in symptomatic Meckel's diverticulum children: a retrospective single-center study.Frontiers in pediatrics · 2026Article
- Management of incidentally diagnosed Meckel's diverticulum in pediatric patients: a questionnaire survey and a literature review.Frontiers in surgery · 2026Review
- Concurrent Amyand and Littre Hernias With Incidental Hodgkin Lymphoma: A Diagnostic and Surgical Challenge.Case reports in surgery · 2026Article
- Perforated Meckel Diverticulum Caused by Vegetal Food Entrapment: A Rare Case Report and Literature Review.The American journal of case reports · 2025Review
- Meckel's diverticulum: differences in clinical features between children and adults.Pediatric surgery international · 2025Article
- Perforated Meckel's diverticulum mimicking appendicitis in a 64-year-old male: a case report and comparative analysis from a resource-limited setting.Annals of medicine and surgery (2012) · 2025Article
- Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Since Meckel's diverticulum (MD) is rarely diagnosed in adults, there is no consensus on what type of procedure to be performed for symptomatic MD and whether to resect or not an accidentally discovered MD. Treatment of symptomatic MD is definitive surgery, including diverticulectomy, wedge, and segmental resection. The type of procedure depends on: (a) the integrity of diverticulum base and adjacent ileum; (b) the presence and location of ectopic tissue within MD. The presence of ectopic tissue cannot be accurately predicted intraoperatively by palpation and macroscopic appearance. When present, its location can be predicted based on height-to-diameter ratio. Long diverticula (height-to-diameter ratio >2) have ectopic tissue located at the body and tip, whereas short diverticula have wide distribution of ectopic tissue including the base. When indication of surgery is simple diverticulitis, diverticulectomy should be performed for long and wedge resection for short MD. When indication of surgery is complicated diverticulitis with perforated base, complicated intestinal obstruction and tumor, wedge, or segmental resection should be performed. When the indication of surgery is bleeding, wedge and segmental resection are the preferred methods for resection. Regarding management of incidentally discovered MD, routine resection is not indicated. The decision making should be based on risk factors for developing future complications, such as: (1) patient age younger than 50 years; (2) male sex; (3) diverticulum length >2 cm; and (4) ectopic or abnormal features within a diverticulum. In this case, diverticulectomy should be performed for long and wedge resection for short MD.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.