Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2024; 16(4): 1043-1054
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1043
Single-center retrospective study of the diagnostic value of double-balloon enteroscopy in Meckel’s diverticulum with bleeding
Tian He, Chao Yang, Jing Wang, Ji-Sheng Zhong, Ai-Hua Li, Ya-Jing Yin, Li-Ling Luo, Chun-Mei Rao, Nian-Fen Mao, Qiang Guo, Zan Zuo, Wen Zhang, Ping Wan
Tian He, Chao Yang, Ai-Hua Li, Li-Ling Luo, Qiang Guo, Zan Zuo, Wen Zhang, Ping Wan, Yunnan Digestive Endoscopy Clinical Medical Center, Department of Gastroenterology, The First People’s Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming 650032, Yunnan Province, China
Jing Wang, Nian-Fen Mao, Department of Medicine, Kunming University of Science and Technology, Kunming 650093, Yunnan Province, China
Ji-Sheng Zhong, School of Medicine, Yunnan University of Traditional Chinese Medicine, Kunming 650011, Yunnan Province, China
Ya-Jing Yin, Department of Gastroenterology, Qujing Hospital of Traditional Chinese Medicine, Qujing 655000, Yunnan Province, China
Chun-Mei Rao, Department of Gastroenterology, Yunnan University of Traditional Chinese Medicine, Kunming 650011, Yunnan Province, China
Co-first authors: Tian He and Chao Yang.
Co-corresponding authors: Ping Wan and Wen Zhang.
Author contributions: Wan P and Guo Q conceived and refined the study; He T and Yang C designed and implemented the study; Wan P, Zhang W, and Zuo Z sponsored the study; Zhong JS and Yin YJ were involved in the data collection; Rao CM and Mao NF were involved in the declaration of institutional review board; Yang C, Li AH, and Luo LL analyzed the data; He T and Wang J drafted the manuscript; Yang C and Zhang W revised the manuscript; all authors were involved in the critical review of the results and contributed to, read, and approved the final manuscript. He T and Yang C contributed equally to this work as co-first authors because both of them were in charge of study execution and manuscript writing; Wan P and Zhang W contributed equally to this work as co-corresponding authors; Zhang W had experience in manuscript writing and publication, made great effort in revising and submitting the manuscript, as well as sponsoring the study; Wan P was the main corresponding author and took primary responsibility for communication with the journal during manuscript submission, peer-review, and the publication processes.
Supported by the Ten Thousand Doctor Plan in Yunnan Province, No. YNWR-MY-2018-020; Yunnan Digestive Endoscopy Clinical Medical Center Foundation for Health Commission of Yunnan Province, No. 2021LCZXXF-XH07, No. 2021LCZXXF-XH15, and No. 2022LCZXKF-XH17; and Yunnan Provincial Key Laboratory of Clinical Virology, No. 202205AG070053-07.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of the First People’s Hospital of Yunnan Province (Approval No. KHLL2023-KY119).
Informed consent statement: All study participants or their legal guardians, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Data sharing statement: All involved participants (subjects or legally authorized representative) gave their informed consent (written or verbal, as appropriate) prior to study inclusion. Study information and statistical methods are available for sharing from the corresponding author at KMWP_66@126.com or 309771477@qq.com.
Open-Access: This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accord with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ping Wan, MD, Doctor, Department of Gastroenterology, The First People’s Hospital of Yunnan Province, No. 157 Jinbi Road, Xishan District, Kunming 650032, Yunnan Province, China. 309771477@qq.com
Received: October 26, 2023
Peer-review started: October 26, 2023
First decision: December 7, 2023
Revised: January 2, 2024
Accepted: January 29, 2024
Article in press: January 29, 2024
Published online: April 27, 2024
Core Tip

Core Tip: Our study aimed to analyze the characteristic clinical manifestations of patients with intestinal disease Meckel’s diverticulum (MD) complicated by digestive tract hemorrhage. Our study found that MD tends to occur in young men, and double-balloon enteroscopy has a high diagnostic value for MD. The main endoscopic manifestation of MD accompanied by bleeding was ulcer, and gastric/pancreatic mucosal ectopia was the main pathological factor causing ulcer.