PAEA Surgery End Of Rotation (EOR) Practice Exam

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How should patients with Meckel's diverticulum presenting with complications be treated?

  1. With conservative management and medication

  2. With surgical resection and/or small bowel resection

  3. With dietary changes and observation

  4. With endoscopic removal and iron supplements

The correct answer is: With surgical resection and/or small bowel resection

In the case of patients with Meckel's diverticulum presenting with complications, surgical resection and/or small bowel resection is the appropriate treatment. Meckel's diverticulum can lead to various complications such as bleeding, inflammation, perforation, or intestinal obstruction. When these complications arise, they typically necessitate surgical intervention to remove the diverticulum and any affected small bowel segments. Surgical resection addresses the underlying issue, alleviating symptoms and preventing further complications. In cases where complications are significant, conservative management or dietary changes would likely be insufficient as they do not resolve the anatomic anomaly or the resulting issues from it. While endoscopic techniques might be employed in some cases for other gastrointestinal conditions, they are not the standard for treating complicated Meckel's diverticulum. The need for definitive surgical intervention highlights the importance of addressing structural or obstructive problems in the gastrointestinal tract, especially when complications arise in a condition like Meckel's diverticulum.