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Duodenal diverticulation

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https://www.readbyqxmd.com/read/27701888/acute-abdomen-from-duodenal-diverticulitis-a-case-report
#1
Antonio José Fernández López, Miguel González Valverde, Nuria Martínez Sanz, María Encarnación Tamayo Rodríguez, Antonio Albarracín Marín Blázquez
Duodenal diverticula are a rare, usually asymptomatic clinical condition. When a complication arises clinical suspicion is key for the diagnosis. On occasion these patients receive a delayed diagnosis and undergo inadequate medical therapy. We report the case of a patient with evidence of duodenal diverticulitis in association with gallbladder inflammation by contiguity, as well as his diagnosis and management.
October 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27648623/perforation-of-the-peptic-ulcer-localized-in-the-proximal-jejunum-case-report
#2
Andrzej Ż Żyluk, Zbigniew Szlosser
Non-traumatic perforation of the digestive tract occurs most often in the duodenum and stomach (peptic ulcer), as well as the colon (diverticulitis, cancer or ischemic lesions). Perforation of the small bowel is very rare. The Authors of the study presented a case of proximal jejunum perforation, which occurred in a patient with a history of duodenal peptic ulcer disease. Diagnosis posed no difficulties, and treatment included the excision of the ulceration and suturing of the bowel. The patient recovered without complications and the histological examination failed to reveal the nature of the ulcer...
September 1, 2016: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/27572068/current-status-of-laparoscopy-for-acute-abdomen-in-italy-a-critical-appraisal-of-2012-clinical-guidelines-from-two-consecutive-nationwide-surveys-with-analysis-of-271-323-cases-over-5%C3%A2-years
#3
Ferdinando Agresta, Fabio Cesare Campanile, Mauro Podda, Nicola Cillara, Graziano Pernazza, Valentina Giaccaglia, Luigi Ciccoritti, Giovanna Ioia, Stefano Mandalà, Camillo La Barbera, Arianna Birindelli, Massimo Sartelli, Salomone Di Saverio
BACKGROUND: Several authors have demonstrated the safety and feasibility of laparoscopy in selected cases of abdominal emergencies. The aim of the study was to analyse the current Italian practice on the use of laparoscopy in abdominal emergencies and to evaluate the impact of the 2012 national guidelines on the daily surgical activity. METHODS: Two surveys (42 closed-ended questions) on the use of laparoscopy in acute abdomen were conducted nationwide with an online questionnaire, respectively, before (2010) and after (2014) the national guidelines publication...
August 29, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27234129/acute-pancreatitis-secondary-to-periampullary-duodenal-diverticulitis
#4
Ismael Mora-Guzmán, José Luis Muñoz de Nova, Íñigo García-Sanz, Elena Martín-Pérez
No abstract text is available yet for this article.
May 24, 2016: Cirugía Española
https://www.readbyqxmd.com/read/27159605/pathology-image-of-the-month-abdominal-pain-and-peripheral-eosinophilia
#5
Reggie Thomasson, Caroline Raasch Alquist, K Barton Farris, Robin McGoey
A 69 year-old man presented to his primary care physician with abdominal discomfort. Medical history was notable for diabetes, chronic obstructive pulmonary disease with recent (one week prior) steroid use and hypertension. Surgical history was significant for a remote sigmoid hemicolectomy for diverticulitis with a synthetic mesh abdominal repair. He was admitted to the hospital for suspected gastroparesis. An upper GI series showed a distended stomach with delayed gastric motility. He underwent esophagogastroduodenoscopy and a duodenal biopsy was taken...
September 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27138622/pathology-image-of-the-month-abdominal-pain-and-peripheral-eosinophilia
#6
Reggie Thomasson Md, Caroline Raasch Alquist Md PhD, K Barton Farris Md, Robin McGoey Md
A 69 year-old man presented to his primary care physician with abdominal discomfort. Medical history was notable for diabetes, chronic obstructive pulmonary disease with recent (one week prior) steroid use and hypertension. Surgical history was significant for a remote sigmoid hemicolectomy for diverticulitis with a synthetic mesh abdominal repair. He was admitted to the hospital for suspected gastroparesis. An upper GI series showed a distended stomach with delayed gastric motility. He underwent esophagogastroduodenoscopy and a duodenal biopsy was taken...
September 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/26958122/-duodenal-diverticulitis-unusual-complication-not-always-easy-to-manage
#7
Abderrahman Elhjouji, Lamine Jaiteh, Ahmed Bounaim, Abdelmounaim Aitali, Khalid Sair
No abstract text is available yet for this article.
2015: Pan African Medical Journal
https://www.readbyqxmd.com/read/26693238/clinical-outcomes-in-surgical-and-non-surgical-management-of-hepatic-portal-venous-gas
#8
Soo-Kyung Yoo, Jong-Hoon Park, Sang Hwy Kwon
BACKGROUNDS/AIMS: Hepatic portal venous gas (HPVG) is a rare condition, with poor prognosis and a mortality rate of up to 75%. Indications for surgical and non-surgical management of HPVG including associated complications and mortality remain to be clarified. METHODS: From January 2008 to December 2014, 18 patients with HPVG diagnosed through abdominal computed tomography (CT) imaging were retrospectively identified. Clinical symptoms, laboratory data, underlying diseases, treatment, and mortality rate were analyzed...
November 2015: Korean Journal of Hepato-biliary-pancreatic Surgery
https://www.readbyqxmd.com/read/26618161/a-retrospective-unicentric-evaluation-of-complicated-diverticulosis-jejuni-symptoms-treatment-and-postoperative-course
#9
Patrick Téoule, Emrullah Birgin, Benjamin Zaltenbach, Georg Kähler, Torsten J Wilhelm, Peter Kienle, Felix Rückert
BACKGROUND: In contrast to the diverticulosis of the colon, jejunal diverticulosis is a rare condition. The incidence is 0.06-5% in large autopsy series. Complicated diverticulosis jejuni (CDJ) often presents with unspecific symptoms. Therefore, diagnosis is often a challenging process and due to the clinical rarity generally valid recommendation of perioperative management does not exist. PATIENTS AND METHODS: We considered only patients who were operated in our center between April 2007 and August 2014...
2015: Frontiers in Surgery
https://www.readbyqxmd.com/read/26084396/pancreatic-and-biliary-obstruction-years-after-retention-of-a-swallowed-coin-in-a-duodenal-diverticulum-a-case-report
#10
Ibrahim Ismail, David W Mudge
INTRODUCTION: Congenital duodenal diverticula are a rare anomaly. The discovery of one in association with an ingested foreign body has only been reported on one previous occasion. In this challenging presentation, the presence of the coin led to the correct diagnosis. Patients with congenital duodenal anomalies may present a number of associated abnormalities. Interestingly, after the discovery of his intraluminal duodenal diverticulum, we searched and found that our patient presented a number of associated pathologies, as described in the literature...
June 18, 2015: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/25938390/-retroperitoneal-perforation-of-duodenum-surgical-approach
#11
Piotr Kowalewski, Marek E Najdecki, Piotr Trojanowski, Krzysztof Paśnik
Retroperitoneal perforation of the duodenum, caused by abdominal trauma, endoscopic examination or diverticulitis, is a serious clinical problem, because of it's lack of specific symptoms. Surgical treatment is often performed in sepsis. That is why the knowledge of adequate techniques is crucial for surgeons. We would like to present our model of surgical approach, based on several trauma center's cases. Among the methods and techniques presented we emphasize the duodenal by-pass with bile duct drainage. Post-op cases of gastrojejunal anastomosis' bleeding prompt to implement a selective vagotomy, which however requires further studies...
April 2015: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/25938103/prevalence-of-duodenal-diverticulum-in-south-indians-a-cadaveric-study
#12
Sulochana Sakthivel, Kavitha Kannaiyan, Sivakami Thiagarajan
Background. Duodenum is the second most common site of diverticula after the colon. Diagnosis of duodenal diverticula is incidental and found during other therapeutic procedures. In 90% of cases, they are asymptomatic, and less than 10% develop clinical symptoms. The difficulty to ascertain the true incidence of duodenal diverticula demanded for the present study to elucidate the prevalence of the duodenal diverticulum in South Indians. Materials and Methods. One hundred and twenty specimens of duodenum were utilized for the study...
2013: ISRN Anatomy
https://www.readbyqxmd.com/read/25270157/perforated-duodenal-diverticulae-importance-for-the-surgeon-and-gastroenterologist
#13
Danya Haboubi, Ankur Thapar, Chetan Bhan, Ayo Oshowo
We present the case of a 78-year-old woman who was admitted for an elective left hemicolectomy for diverticular disease. Two days following the elective procedure, bilious fluid was noted in her pelvic drain. The patient returned to theatre, where a perforated duodenal diverticulum was excised and the defect primarily repaired. The patient then developed a low output enterocutaneous fistula which was treated conservatively with nasojejunal feeding and resolved spontaneously.
2014: BMJ Case Reports
https://www.readbyqxmd.com/read/25127950/acute-duodenal-diverticulitis-treated-with-endoscopic-therapy
#14
Wajeeh Salah, M Edwyn Harrison, Douglas O Faigel, Rahul Pannala
No abstract text is available yet for this article.
September 2014: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/25110301/duodenal-diverticula-potential-complications-and-common-imaging-pitfalls
#15
REVIEW
T C Schroeder, M Hartman, M Heller, P Klepchick, K Ilkhanipour
A duodenal diverticulum is a commonly encountered entity in gastrointestinal radiology with a wide variety of appearances. The purpose of this review is to describe the normal anatomy and embryology of the duodenum, discuss the differences between a true versus intraluminal duodenal diverticulum, and to highlight the normal appearance, potential complications, and imaging pitfalls of duodenal diverticula.
October 2014: Clinical Radiology
https://www.readbyqxmd.com/read/24876314/health-effects-of-dietary-fiber
#16
REVIEW
Semih Otles, Selin Ozgoz
Dietary fibre is a group of food components which is resistant to digestive enzymes and found mainly in cereals, fruits and vegetables. Dietary fi ber and whole grains contain a unique blend of bioactive components including resistant starches, vitamins, minerals, phytochemicals and antioxidants. Dietary fi ber which indigestible in human small intestinal, on the other hand digested completely or partially fermented in the large intestine, is examined in two groups: water-soluble and water insoluble organic compounds...
April 2014: Acta Scientiarum Polonorum. Technologia Alimentaria
https://www.readbyqxmd.com/read/24747446/complex-penetrating-duodenal-injuries-less-is-better
#17
COMPARATIVE STUDY
Carlos Ordoñez, Alberto García, Michael W Parra, David Scavo, Luis F Pino, Mauricio Millán, Marisol Badiel, Juán Sanjuán, Fernando Rodriguez, Ricardo Ferrada, Juan Carlos Puyana
BACKGROUND: The traditional management of complex penetrating duodenal trauma (PDT) has been the use of elaborate temporizing and complex procedures such as the pyloric exclusion and duodenal diverticulization. We sought to determine whether a simplified surgical approach to the management of complex PDT injuries improves clinical outcome. METHODS: A retrospective review of all consecutive PDT from 2003 to 2012 was conducted. Patients were divided into three groups according to a simplified surgical algorithm devised following the local experience at a regional Level I trauma center...
May 2014: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/24713776/non-perforated-duodenal-diverticulitis
#18
Konstantinos H Katsanos, Dimitrios Nastos, Epameinondas V Tsianos
No abstract text is available yet for this article.
2011: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://www.readbyqxmd.com/read/24713704/diagnosis-of-periampullary-duodenal-diverticula-the-value-of-new-imaging-techniques
#19
Evangelos Perdikakis, Evangelia G Chryssou, Apostolos Karantanas
OBJECTIVE: The purpose of this study was to evaluate and demonstrate the clinical and imaging features of symptomatic duodenal diverticula presenting as or mimicking acute abdomen. METHODS: The imaging studies of 10 patients, all presenting with acute abdomen and diagnosed with duodenal diverticula as the possible underlying cause, over a time period of 20 months were retrospectively analyzed. RESULTS: Eleven duodenal diverticula were depicted in 8 Multidetector Computed Tomography (MDCT) exams, 2 MRI-MRCP exams and in one intraoperative cholangiography...
2011: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://www.readbyqxmd.com/read/24670021/gossypiboma-presenting-as-coloduodenal-fistula-report-of-a-rare-case-with-review-of-literature
#20
REVIEW
Sarath Chandra Sistla, Ananthakrishnan Ramesh, Vilvapathy Sengutuvan Karthikeyan, Duvuru Ram, Sheik Manwar Ali, Raghavan Velayutham Sugi Subramaniam
The term gossypiboma is used to describe a mass of cotton matrix left behind in a body cavity intraoperatively. The most common site reported is the abdominal cavity. It can present with abscess, intestinal obstruction, malabsorption, gastrointestinal hemorrhage, and fistulas. A 37-year-old woman presented with pain in the right hypochondrium for 2 months following open cholecystectomy. As she did not improve with proton pump inhibitors, an esophagogastroduodenoscopy (EGD) was done, which showed a possible gauze piece stained with bile in the first part of the duodenum...
March 2014: International Surgery
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