2021, Number 282
Characterization of duodenal diverticula in patients with gallstones
Language: Spanish
References: 15
Page: 1-5
PDF size: 291.70 Kb.
ABSTRACT
Introduction: diseases of the small intestine are numerous, from the wide variety of infectious alterations to tumors or motility defects.Objective: to characterize duodenal diverticula in patients with gallstones in the province of Pinar del Río.
Method: descriptive, cross-sectional study in the period from January 2018 to December 2019. The universe consisted of 187 patients with gallstones diagnosed with duodenal diverticula, who attended the Provincial Gastroenterology Service of Pinar del Río. It worked with the entire universe. Variables such as age, sex, personal pathological history, clinical manifestations, radiological diagnosis and location of the papilla in relation to the position of the diverticulum were analyzed.
Results: the female sex predominated (68.9%) and those older than 75 years were the most affected age group (24.6%). Cholecystectomy was the most frequent personal pathological history (48.6%). 60.9% of the patients presented jaundice. The papilla was located inside the diverticula in 61% of the cases and 95 patients had residual bile duct stones.
Conclusions: duodenal diverticula in patients with gallstones were more frequent in females and in the age group older than 75 years. Cholecystectomy was the predominant antecedent and the most frequent clinical manifestation was jaundice. In relation to duodenal diverticula, the papilla was located within them.
REFERENCES
Blake-Siemsen JC, Kortright-Farías M, Casale-Menier DR,Gámez Araujo J. Sangrado digestivopor divertículos yeyunales:reporte de un caso y revisiónde la literatura. Cirugía y Cirujanos[Internet]. 2017 dic [citado16/01/2020]; 85 (1):34-39. Disponibleen: https://www.sciencedirect.com/science/article/pii/S0009741116301323
Aomatsu N, Nakamura M, TakeuchiK, Nishii T, Kosaka K, Uchima Y, etal. The relationship between juxtapapilarduodenal diverticula and disordersof the biliopancreatic system:analysis of 350 patients. GastrointestEndoscop [Internet]. 2001 [citado16/01/2020]; 54(1):56-61. Disponibleen: https://www.giejournal.org/article/S0016-5107(01)28756-2/fulltext
Estepa Pérez J, Santana PedrazaT, Estepa Torres J. Colecistectomíaconvencional abierta en el tratamientoquirúrgico de la litiasis vesicular.Medisur [Internet]. 2015 Feb[citado 16/01/2020]; 13(1):16-24.Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2015000100004&lng=pt
Machain Vega G, YamanakaW, López G, Martinez Marcelo M,Miltos Marcelo G. Prevalencia delitiasis biliar en personas concurrentesal hospital de clínicas. Rev.Cir. Parag. [Internet]. 2017 [citado16/01/2020];41(2):21-24.Disponibleen: http://scielo.iics.una.py/scielo.php?script=sci_arttext&pid=S2307-04202017000200021&lng=en
De-Benito-Sanz M, Cimavilla-RománM, Torres-Yustex R. Lesión deDieulafoy en divertículo duodenal.Una causa infrecuente de HDA. Rev.esp. enferm. dig. [Internet]. 2018 [citado25/9/2021]; 110(4):266-267.Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082018000400020&lng=es.
Relea-Pérez Lucía, Magaz-MartínezMarta, Pons-Renedo Fernando.Massive upper gastrointestinalbleeding due to a Dieulafoy's lesioninside a duodenal diverticulum. Rev.esp. enferm. dig. [Internet]. 2017 Dic[citado 25/9/2021]; 109(12):876-877. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017001200016&lng=es
Ramos Pachón CM, Del ValleLlufrio P. Divertículos periampularesdiagnosticados durante la ColangiopancreatografíaRetrógrada Endoscópica.Rev Med Electrón [Internet].2014 [citado 16/01/2020]; 36(3): [aprox.5p.].Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202014/vol3%202014/tema03.htm
Gorgoso-Vázquez A, Capote-Guerrero G, Ricardo-Martínez D,Casado-Méndez P, Fernández-GómezA. Factores que al ingresoinfluyen en la evolución de pacientescon diagnóstico de pancreatitisaguda. Revista Cubanade Cirugía [Internet]. 2020 [citado25/9/2021]; 59(1): e886. Disponibleen: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932020000100004&lng=es