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2002, Number 3

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Rev Mex Cir Endoscop 2002; 3 (3)

Duodenal diverticulum prevalence and its mortality in the retrograde endoscopic cholangiography

Acuña R, León F, Fridman L, Alcántara A, Álvarez J

Language: Spanish
References: 21
Page: 117-122
PDF size: 301.95 Kb.


ABSTRACT

Objective: To know the prevalence of the duodenal diverticulum in the endoscopy unit of the CMN 20 de Noviembre ISSSTE the complications and mortality associated with this pathology in the endoscopic cholangiography. Design: Prospective, descriptive and transversal study. Patients and methods: We studied 100 patients from 1 of March to 31 of December 2001 by duodenoscopy and endoscopic cholangiography. It was recorded the presence or absence of the diverticulum, the type, the factibility of cannulation of the main papilla, the complications and the mortality. Results: The mean age was 57 years, 61 female and 39 male, 11 patients had duodenal diverticulum, in four cases (36.4%) the papilla was intradiverticular and it was impossible to canulate and complete the procedure. There were no complications or mortality in this serie. Two patients had multiple diverticulums. Common bile duct stones were present in 8 of 11 patients with duodenal diverticulums (72.7%). In one case an intradiverticular tumor was found. Conclusions: The prevalence of the duodenal diverticulum is high (11%) but within the limits described by the literature. In the 36.4% of the cases with duodenal diverticulum the papilla was intradiverticular which made it impossible to canulate and complete the procedure. There were no complications or mortality in this study. The prevalence of this pathology increases with age.


REFERENCES

  1. Vassilakis JS, Tzovaras G, Chrysos E et al. Roux-Y Choledochojejunostomy and duodenojejunostomy for the complicated duodenal diverticulum. Am J Surg 1997; 174: 45-8.

  2. Finnie IA, Ghosh P, Garvey C, Poston GJ, Rhodes JM. Intraluminal duodenal diverticulum causing recurrent pancreatitis: Treatment by endoscopic incision. Gut 1994; 35: 557-9.

  3. De Lorenzo SA, Poggetti RS, Fontes B et al. Ruptura traumática de divertículo duodenal. Relato de un caso e revisao da literatura. Rev Hosp Clin Fac Med S Paulo 1996; 51: 247-9.

  4. Cavanagh J. Iatrogenic perforation of perivaterian duodenal diverticulum: report of a case. CJS 1996; 39: 336-8.

  5. Trodndsen F, Rosseland AR, Bakka AO. Surgical management of duodenal diverticula. Acta Chir Scand 1990; 156: 383-6.

  6. Psathakis D, Utschakowski A, Muller Y et al. Clinical significance of duodenal diverticula. J Am Coll Surg 1994; 178: 257-60.

  7. Gang HK, Fondacaro PF. Enterolith ileus: a rare complication of duodenal diverticula. Am J Gastroenterol 1992; 87: 1846-8.

  8. Poostizadeh A, Yow KW, Al-Mabmead, Allardyce DB. Traumatic perforation of duodenal diverticulum. J Trauma 1997; 43: 370-1.

  9. Duarte B, Nagy KK, Clintron J. Perforated duodenal diverticulum. Br J Surg 1992; 79: 877-81.

  10. Michalsky M, Ritota P, Swan K. Gian duodenal diverticulum: Presentation by blunt trauma. J Trauma 1999; 46: 1130-32.

  11. Afridi S, Fichtenbaum C, Taubin H. Review of duodenal diverticulum. Am J Gastroenterol 1991; 86: 935-8.

  12. Akhrass R, Yaffe MB, Fischer C, Ponsky J, Shuck JM. Small-bowel diverticulosis perceptions and reality. J Am Coll Surg 1997; 184: 383-8.

  13. Mackenzie ME, Davies WT, Farnell MB, Weaver MS, Ilstrup DM. Risk of recurrent biliary tract disease after cholecystectomy in patients with duodenal diverticula. Arch Surg 1996; 131: 1083-85.

  14. Liovenen MK, Halttunen JAA, Kivilaakso E. Duodenal diverticulum at endoscopic retrograde cholangiopancreatography, analysis of 123 patients. Hepatogastroenterology 1996; 43: 961-966.

  15. Harris PR, Wright JA. Duodenal diverticulum: case report and literature review. Am J Gastroenterol 1997; 92: 712-713.

  16. Junquera F, Santos V, Molero R, Vilascca M. Ehlers-Danlos syndrome with giant duodenal diverticulum as a cause of cholangitis. Gastroenterol Hepatol 1995; 18: 84-86.

  17. Jang LC, Kim SW, Park GH, Kim JP. Symptomatic duodenal diverticulum. World J Surg 1995; 19: 729-733.

  18. Wong LS, Hobbs SM, Donicott NJ. Duodenal diverticulum as a cause of massive gastrointestinal bleeding. J Royal Sc of Med 1999; 92: 254-255.

  19. Huang F, Fu C, Chuang, Jiin H, Ko S. Intraluminal duodenal diverticulum presenting as obstructive chronic pancreatitis. J of P Gastroenterol Nut 1998; 27: 593-595.

  20. Goodman P, Raval B, Zimmerman G. CT diagnosis of perforated diverticulum. Clin Imag 1989; 13: 321-322.

  21. Eisenberg RL. Gastrointestinal Radiology. Philadelphia: Lippincott. 1990; 529: 534.




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