{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T13:19:49Z","timestamp":1789823989538,"version":"4.0.1"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2005,3,23]],"date-time":"2005-03-23T00:00:00Z","timestamp":1111536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2005,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Conflicting reports are found in the literature concerning whether to remove an incidentally discovered Meckel\u2019s diverticulum (MD). Between 1.1.1974 and 31.12.2000, at a single center, the perioperative data associated with appendectomy (AE) were recorded consecutively and analyzed retrospectively. All patients in whom an MD was discovered during an AE were included in the study. The clinical presentation, postoperative course, and follow\u2010up in all MDs left in place were analyzed. During the course of 7927 AE, 233\u00a0MD (2.9%) were detected. Of these 80.7% (<jats:italic>n<\/jats:italic> = 188) were removed and 19.3% (<jats:italic>n<\/jats:italic> = 45) were left untouched. In 9% (<jats:italic>n<\/jats:italic> = 21) of all detected diverticula pathological changes were found. Ectopic tissue was seen in 12.2% (<jats:italic>n<\/jats:italic> = 23) of the MDs removed. The postoperative complication rates did not differ significantly between patients in whom the MD was removed (9.5%; <jats:italic>n<\/jats:italic> = l8) and those in whom it was not (17.7%; <jats:italic>n<\/jats:italic> = 8); in the latter group the appendicitis was of the more acute type (gangrenous or perforated) (24.4% vs. 4.3%). In 18 patients (40.0%) with non\u2010removed MDs, a follow\u2010up period of 14.1 \u00b1 5.8 years was achieved. Complications associated with a non\u2010removed MD were not observed. If during the course of an AE a MD is detected, the present data, as well as those in the literature, suggest that an individualized approach should be taken. Meckel\u2019s diverticulum with obvious pathology should always be removed. In cases of gangrenous or perforated appendicitis, an incidentally discovered MD should be left in place, whereas in an only mildly inflamed appendix it should be removed.<\/jats:p>","DOI":"10.1007\/s00268-004-7615-x","type":"journal-article","created":{"date-parts":[[2005,3,16]],"date-time":"2005-03-16T20:39:53Z","timestamp":1111005593000},"page":"455-458","source":"Crossref","is-referenced-by-count":62,"title":["The Significance of Meckel\u2019s Diverticulum in Appendicitis \u2014 A Retrospective Analysis of 233 Cases"],"prefix":"10.1002","volume":"29","author":[{"given":"Torsten","family":"Ueberrueck","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery Friedrich\u2010Schiller University Erlanger\u2010Allee 101 07747 Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lutz","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Surgery Carl\u2010Thiem\u2010Hospital Thiemstr. 111 03048 Cottbus Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Koch","sequence":"additional","affiliation":[{"name":"Department of Surgery Carl\u2010Thiem\u2010Hospital Thiemstr. 111 03048 Cottbus Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Hinkel","sequence":"additional","affiliation":[{"name":"Department of Surgery Carl\u2010Thiem\u2010Hospital Thiemstr. 111 03048 Cottbus Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rainer","family":"Kube","sequence":"additional","affiliation":[{"name":"Department of Surgery Carl\u2010Thiem\u2010Hospital Thiemstr. 111 03048 Cottbus Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Gastinger","sequence":"additional","affiliation":[{"name":"Department of Surgery Carl\u2010Thiem\u2010Hospital Thiemstr. 111 03048 Cottbus Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,3,23]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/106.6.782"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/ge.2001.v54.054101"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(05)80031-5"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(01)00817\u20101"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/jramc-140-03-10"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(00)00438\u20104"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00261\u2010001\u20100070\u20103"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1024\/1023-9332.8.6.273"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.74.888.741142"},{"key":"e_1_2_6_11_2","first-page":"910","article-title":"Adenocarcinoma in Meckel\u2019s diverticulum: report of a case and review of 30 cases in the English and Japanese literature","volume":"87","author":"Kusumoto H","year":"1992","journal-title":"Am. 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Edinb."},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103468(91)90601\u2010O"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8553(21)00117-5"},{"key":"e_1_2_6_21_2","first-page":"179","article-title":"When is a simultaneous operation of Meckel\u2019s diverticulum indicated: always\u07ddnever\u07ddor only in special circumstances? Langenbecks Arch","volume":"369","author":"Amgwerd R.","year":"1986","journal-title":"Chir."},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01250978"},{"key":"e_1_2_6_23_2","first-page":"325","article-title":"Meckel\u2019s diverticulum: surgical complications","volume":"59","author":"Demartines N","year":"1992","journal-title":"Helv. Chir. 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