{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T16:56:21Z","timestamp":1778864181224,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T00:00:00Z","timestamp":1525910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T00:00:00Z","timestamp":1525910400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The presence of gastric ectopic mucosa in Meckel\u2019s diverticulum is associated with a higher risk of development of complications. The aim of the present study was to investigate which demographic\/clinical parameters predict the presence of gastric heterotopia in Meckel\u2019s diverticulum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective cohort study conducted in a single institution (University Hospital Ostrava, Czech republic). All children who underwent laparoscopic\/open resection of Meckel\u2019s diverticulum within a 20\u2010year study period were included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 88 pediatric patients underwent analysis. The mean age of the children was 4.6\u2009\u00b1\u20094.73 years; the male\u2013female ratio was approximately 2:1. There were 50 (56.8%) patients with asymptomatic Meckel\u2019s diverticulum in our study group. Laparoscopic resection was performed in 24 (27.3%) patients; segmental bowel resection through laparotomy was performed in 13 (14.8%) patients. Gastric heterotopia was found in 39 (44.3%) patients; resection margins of all patients were clear of gastric heterotopia. No correlation was found between the presence of gastric heterotopia and the following parameters: age, gender, maternal age, prematurity, low birth weight, perinatal asphyxia, distance from Bauhin\u2019s valve and length of Meckel\u2019s diverticulum. The width of the diverticulum base was significantly higher in patients with gastric heterotopia (2.1\u2009\u00b1\u20090.57 vs. 1.2\u2009\u00b1\u20090.41\u00a0cm; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>According to the study outcomes, the width of the diverticulum base seems to be a significant predictive factor associated with the presence of gastric heterotopia in Meckel\u2019s diverticulum. The laparoscopic\/open resection of asymptomatic MD with a wide base should therefore be recommended.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-018-4664-0","type":"journal-article","created":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T19:05:09Z","timestamp":1525979109000},"page":"3779-3784","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Meckel\u2019s Diverticulum in Children\u2014Parameters Predicting the Presence of Gastric Heterotopia"],"prefix":"10.1002","volume":"42","author":[{"given":"Ivana","family":"Sl\u00edvov\u00e1","sequence":"first","affiliation":[{"name":"Department of Surgery University Hospital Ostrava 17. listopadu 1790 708 52 Ostrava Czech Republic"},{"name":"Department of Surgical Studies, Faculty of Medicine University of Ostrava Syllabova 19 703 00 Ostrava Czech 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May 2018","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with Ethical Standards"}},{"value":"All authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"All procedures performed in the study were in accordance with the ethical standards of the University hospital and Faculty of Medicine, University of Ostrava, Czech Republic, in\u00a0accordance with the ethical standards of the Helsinki Declaration of 1975, as revised in 2000. For this type of study formal consent is not required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}