Small intestine diverticula: Is there anything new?
| Autor: | Mantas D; Dimitris Mantas, Stylianos Kykalos, Dimitris Patsouras, Gregory Kouraklis, 2nd Department of Propedeutic Surgery, Medical School of Athens University, Laiko General Hospital, Tilou 12, 15344, Athens, Greece., Kykalos S, Patsouras D, Kouraklis G |
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| Jazyk: | angličtina |
| Zdroj: | World journal of gastrointestinal surgery [World J Gastrointest Surg] 2011 Apr 27; Vol. 3 (4), pp. 49-53. |
| DOI: | 10.4240/wjgs.v3.i4.49 |
| Abstrakt: | Aim: To globally approach the clinical entity of small bowel diverticulosis and, at the same time, set out the treatment options. Methods: We analysed 77 cases of diverticula located in the duodenum, jejunum and ileum that were treated in our department, evaluating the symptoms, diagnostic approach and offered treatment. Results: Almost half of the diverticula (46.7%) were incidentally discovered and Meckel's diverticula represented the majority (43%) that were actually the only true diverticula. A high complication rate (53%) which included inflammation with or without perforation (22%), bleeding (10%) or obstructive ileus (12%) due to small bowel diverticulosis was reported. The preoperative diagnosis was often impossible (44% of complicated cases). Conclusion: Although small bowel diverticulosis has a low incidence, it should be in the clinician's mind in order to avoid misdiagnosis. |
| Databáze: | MEDLINE |
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