González-Mena L, Arrecillas-Zamora M, Martínez-Consuegra N, Lazos OM

Language: Spanish
References: 24
Page: 115-121
PDF size: 293.32 Kb.

ABSTRACT

This is a transversal, retrospective and descriptive study in which 7090 autopsy protocols were reviewed in a 10 year period ( 1993-2002 ). The aim of this study was to know the frequency of duodenal diverticula (DD) in autopsy studies in the Hospital General de México and to compare it with the frequency reported in other series. Six cases of DD were found, which have a frequency of 0.08%. Medium age was 67.6 years. Three cases were male and three female. 83% were found in the second portion of the duodenum. 66 % of the DD were symptomatic and had history of cholecistectomy; most of the symptoms were related to extrahepatic bile duct obstruction. Histologicaly all cases were acquired diverticula. Half of the DD had more diverticula in the intestinal tract.

REFERENCES

1. Kumar V, Abul K, Fausto N. Robins y Cotran Patología Estructural y Funcional. 7a ed. Madrid, España: Editorial Elsevier, 2005.

2. Afridi S, Fichtenbaum C, Taubin H. Review of duodenal diverticula. Am J Gastroenterol 1991; 86: 935-938.

3. J Donald. Major complications of small bowel diverticula. Ann Surg 1979; 190: 183-188

4. Lotveit T, Osnes M. Review duodenal diverticula. Scand J Gastroenterol 1984; 19: 183-188.

5. Zoepf T, Zoepf DS, Arnold JC, Benz C, Riemman JF. The relationship between juxtapapillary duodenal diverticula and disorders of the biliopancreatic system: Analysis of 350 patients. Gastrointest Endosc 2001; 54: 56-61.

6. Kennedy R, Thompson M. Are duodenal diverticula associated with choledocholithiasis? Gut 1988; 29: 1003-1006.

7. Uomo G, Manes G, Rogozzino A, Cavallera A. Periampullary extraluminal duodenal diverticula and acute pancreatitis; an understimated etiological association. Am J Gastroenterol 1996; 91: 1186-1188.

8. Hagege H, Berson A, Pelletier G, Fritsch J, Liguory C, Etienne J. Association of juxtapapillary diverticula with choledocholithiasis but not with cholecystolithiasis. Endoscopy 1992; 24: 248-151.

9. Christoforidis E, Goulimaris I, Kanellos I, Tsalis K, Dadoukis I. The role of juxtapapillary duodenal diverticula in biliary stone disease. Gastrointest Endoscopy 2002; 55: 543-547.

10. Nieuwkoop, Cornelis A, Boere I, Rosekrans P, Bac DJ. Recurrent bacterial cholangitis duo to a juxtapapillary diverticulum. Eur J Gastroenterol Hepatol 2002; 14: 189-190.

11. Gulotta G, Agosta G, Romano G. Perforated duodenal diverticula. Chirug Ital 2001; 53: 255-258.

12. Bergman S, Koumanis D, Lawrence A, Barkun JS, Paraskevas S. Duodenal diverticulum with retroperitoneal perforation. Can J Surg 2005; 48: 332-6.

13. Ikeda R, Yamauchi Y, Matsuura A, Kubo Y. A case of duodenal tuberculosis adjacent to the juxtapapillary duodenal diverticula. Digest Endosc 2003; 15: 9-11.

14. Swain P, Fritscher-Ravens. A role of videoendoscopy in managing small bowel disease. Gut 2004; 53: 1866-1875.

15. Lobo D, Balfou T. Periampullary diverticula and pancreaticobiliary disease. Br. J Surg 1999; 86: 588-597.

16. Kimura W, Nagai H, Kuroda A, Muto T. No significant correlation between histologic changes of the papilla of Vater and juxtapapillary diverticulum. Special reference to the pathogenesis of gallstones. Scand J Gastroenterol 1992; 27: 951-956.

17. Novacek G, Walgram M, Bauer P, Schofl R. Gangl A, Potzi R. The relationship between juxtapapillary duodenal diverticula and biliary stone disease. Eur J Gastroenterol Hepatol 1997; 9: 375-379.

18. Kim MH, Myung SJ, Seo DW, Lee SK, Kim YS, Lee MH. Association of periampullary diverticula with primary choledocholithiasis but not with secondary choledocholithiasis. Endoscopy 1988; 9: 375-379.

19. Leivonen MK, Halttunen JA, Kivilaakso EO. Duodenal diverticulum at endoscopic retrograde cholangiopancreaticography: Analysis of 123 patients. Hepatogastroenterol 1994; 43: 961-966.

20. Boender J, Nix GA, de Ridder M, van Blanknstein M, Schutte HE, Dees J Endoscopic papillotomy for common ducto stones: Factors influencing the complication rate. Endoscopy 1994; 26: 209-216.

21. Zoepf T, Zoepf D, Benz C. The relationship between juxtapapillary duodenal diverticula and disorders of the biliopancreatic system: Analysis of 350 patients. Gastrointest Endosc 2001; 54: 56-61.

22. Ackermann W. Diverticula and variations of the duodenum. Ann Surg 1943; 117: 403-413.

23. Tomita R, Moita K, Nagai N, Aoiki, Tanjoh K, Kurosu Y. Plasma gut hormone levels before and after duodenojejunostomy in patients with juxtapapillary duodenal diverticulum. Biomed Res 1993; 14: 123-130.

24. Hagege H, Berson A, Pelletier G, Fritsch J, Choury A, Liguory C. Association of juxtapapillary diverticula with choledocholithiasis but not with cholecystolithiasis. Endoscopy 1992;24: 248-251.