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Radiographics : a Review Publication of... 2022The duodenum can be affected by a variety of abnormalities because of its development during embryogenesis and its dual intra- and retroperitoneal location. If small...
The duodenum can be affected by a variety of abnormalities because of its development during embryogenesis and its dual intra- and retroperitoneal location. If small bowel embryogenesis is disturbed, congenital errors occur. Although some congenital variants may be asymptomatic and inconsequential to the patient, other anomalies can result in life-threatening emergencies such as malrotation, leading to midgut volvulus. Many infectious processes affect the duodenum, including duodenal ulcers and opportunistic infection in patients with HIV/AIDS or Crohn disease. Small bowel malignancies are uncommon but important to recognize, because the duodenum can be involved in polyposis syndromes or the development of primary adenocarcinoma, neuroendocrine tumors, lymphoma, and metastasis. Although endoscopy is currently the most used diagnostic method to assess the lumen of the upper gastrointestinal tract, fluoroscopy is a valuable adjunct technique and the study of choice for many diseases, specifically those for which anatomic and functional information is required. Fluoroscopy is also commonly used postoperatively to assess for complications such as obstruction and extraluminal leaks. Compared with endoscopy, fluoroscopy is an inexpensive and noninvasive technique that provides salient anatomic information and allows delineation of the duodenal mucosa and assessment of real-time duodenal motility. The authors examine the broad spectrum of conditions that can involve the duodenum, including congenital, infectious, inflammatory, and neoplastic abnormalities, and review their typical appearances at fluoroscopy. RSNA, 2022.
Topics: Duodenal Diseases; Duodenum; Fluoroscopy; Humans; Intestine, Small
PubMed: 35179986
DOI: 10.1148/rg.210165 -
Digestive Diseases and Sciences Dec 2023
Topics: Humans; Duodenal Diseases; Duodenum; Intestinal Polyps
PubMed: 37775623
DOI: 10.1007/s10620-023-08113-x -
Gastroenterologia Y Hepatologia Feb 2019
Topics: Diverticulum; Duodenal Diseases; Humans; Jaundice, Obstructive; Magnetic Resonance Imaging; Male; Middle Aged; Syndrome
PubMed: 30122345
DOI: 10.1016/j.gastrohep.2018.07.009 -
BMJ Case Reports Jan 2017We describe a rare case of a 60-year-old man with known history of peptic ulcer disease who presented with melena and epigastric pain secondary to coil migration into...
We describe a rare case of a 60-year-old man with known history of peptic ulcer disease who presented with melena and epigastric pain secondary to coil migration into duodenal mucosa 4 years after the initial therapeutic embolisation of the gastroduodenal artery. Upper endoscopy revealed oozing duodenal ulcer at the same site of the previously located duodenal ulcer 4 years ago and metal coil impacted at the duodenal mucosa. It is unclear if the coil migration is the effect or the cause of the bleeding duodenal ulcer. Our patient was treated by surgical intervention due to failed endoscopic haemostasis and medical management.
Topics: Angiography; Duodenal Diseases; Duodenal Ulcer; Duodenum; Embolization, Therapeutic; Endoscopy, Digestive System; Foreign-Body Migration; Gastrointestinal Hemorrhage; Humans; Male; Middle Aged; Tomography, X-Ray Computed
PubMed: 28130285
DOI: 10.1136/bcr-2016-218207 -
Surgical Pathology Clinics Sep 2020The evaluation of gastrointestinal pathology in children often requires a different approach from that in adults. In this concise review, the authors outline 3... (Review)
Review
The evaluation of gastrointestinal pathology in children often requires a different approach from that in adults. In this concise review, the authors outline 3 diagnostic challenges that are often encountered in daily practice; these include eosinophilic diseases, duodenal intraepithelial lymphocytosis with preserved villous architecture, and terminal ileal inflammation in the setting of idiopathic inflammatory bowel disease.
Topics: Age Factors; Biopsy; Child; Duodenal Diseases; Eosinophilia; Gastrointestinal Diseases; Gastrointestinal Tract; Humans; Inflammatory Bowel Diseases; Lymphocytosis
PubMed: 32773191
DOI: 10.1016/j.path.2020.05.002 -
Journal of Gastrointestinal Surgery :... Jun 2021
Topics: Cysts; Duodenal Diseases; Duodenum; Humans
PubMed: 33443687
DOI: 10.1007/s11605-020-04890-2 -
Acta Gastro-enterologica Belgica 2021
Topics: Duodenal Diseases; Humans; Intestinal Polyps; Polyps
PubMed: 34599583
DOI: 10.51821/84.2.021 -
Current Opinion in Gastroenterology Nov 2014
Topics: Anticoagulants; Duodenal Diseases; Gastric Mucosa; Gastrointestinal Hemorrhage; Heart Diseases; Helicobacter Infections; Humans; Stomach Diseases
PubMed: 25211242
DOI: 10.1097/MOG.0000000000000126 -
Korean Journal of Radiology 2015This pictorial review aims to illustrate the magnetic resonance imaging (MRI) findings and presentation patterns of anatomical variations and various benign and... (Review)
Review
This pictorial review aims to illustrate the magnetic resonance imaging (MRI) findings and presentation patterns of anatomical variations and various benign and malignant pathologies of the duodenum, including sphincter contraction, major papilla variation, prominent papilla, diverticulum, annular pancreas, duplication cysts, choledochocele, duodenal wall thickening secondary to acute pancreatitis, postbulbar stenosis, celiac disease, fistula, choledochoduodenostomy, external compression, polyps, Peutz-Jeghers syndrome, ampullary carcinoma and adenocarcinoma. MRI is a useful imaging tool for demonstrating duodenal pathology and its anatomic relationships with adjacent organs, which is critical for establishing correct diagnosis and planning appropriate treatment, especially for surgery.
Topics: Ampulla of Vater; Choledochal Cyst; Diverticulum; Duodenal Diseases; Duodenum; Humans; Magnetic Resonance Imaging; Pancreas; Pancreatic Diseases; Radiography
PubMed: 26576112
DOI: 10.3348/kjr.2015.16.6.1240 -
Langenbeck's Archives of Surgery Apr 2024Operative options for duodenal Crohn's disease include bypass, stricturoplasty, or resection. What factors are associated with operation selection and whether...
BACKGROUND
Operative options for duodenal Crohn's disease include bypass, stricturoplasty, or resection. What factors are associated with operation selection and whether differences exist in outcomes is unknown.
METHODS
Patients with duodenal Crohn's disease requiring operative intervention across a multi-state health system were identified. Patient and operative characteristics, short-term surgical outcomes, and the need for future endoscopic or surgical management of duodenal Crohn's disease were analyzed.
RESULTS
40 patients underwent bypass (n = 26), stricturoplasty (n = 8), or resection (n = 6). Median age of diagnosis of Crohn's disease was 23.5 years, and over half of the patients had undergone prior surgery for CD. Operation type varied by the most proximal extent of duodenal involvement. Patients with proximal duodenal CD underwent bypass operations more commonly than those with mid- or distal duodenal disease (p = 0.03). Patients who underwent duodenal stricturoplasty more often required concomitant operations for other sites of small bowel or colonic CD (63%) compared to those who underwent bypass (39%) or resection (33%). No patients required subsequent surgery for duodenal CD at a median follow-up of 2.8 years, but two patients required endoscopic dilation (n = 1 after stricturoplasty, n = 1 after resection).
CONCLUSION
Patients who require surgery for duodenal Crohn's disease appear to have an aggressive Crohn's disease phenotype, represented by a younger age of diagnosis and a high rate of prior resection for Crohn's disease. Choice of operation varied by proximal extent of duodenal Crohn's disease.
Topics: Humans; Young Adult; Adult; Crohn Disease; Duodenal Diseases; Duodenum; Intestine, Small; Colon
PubMed: 38639899
DOI: 10.1007/s00423-024-03324-w