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Journal of Clinical Gastroenterology 2001Occult gastrointestinal bleeding frequently frustrates clinicians' attempts to locate the source. Foci of hemorrhage within the small bowel are often found only at... (Review)
Review
Occult gastrointestinal bleeding frequently frustrates clinicians' attempts to locate the source. Foci of hemorrhage within the small bowel are often found only at laparotomy and can be attributed to Meckel's diverticula, carcinomas, or less frequently, pulsion-type diverticula. We report our experience with two patients whose jejunal diverticula resulted in recurrent episodes of massive gastrointestinal hemorrhage.
Topics: Aged; Diverticulum; Female; Gastrointestinal Hemorrhage; Humans; Jejunal Diseases; Male
PubMed: 11606860
DOI: 10.1097/00004836-200111000-00014 -
World Journal of Gastroenterology Oct 2008Jejunal diverticulosis (JD) is a rare clinical entity. The potential complications of this condition are discussed here through a series of cases presented to our... (Review)
Review
Jejunal diverticulosis (JD) is a rare clinical entity. The potential complications of this condition are discussed here through a series of cases presented to our centre. A retrospective analysis of four cases, which were diagnosed and treated, was performed. These included two cases of gastrointestinal haemorrhage, one case of perforation and one case of enterolith obstruction. All of these cases were secondary to jejunal diverticulosis and treated surgically. This was accompanied by a literature search to identify the different modalities for diagnosis and treatment of this condition. JD is rare and may lead to a diagnostic delay. Awareness of the wide spectrum of potential complications can prevent this delay.
Topics: Aged; Aged, 80 and over; Digestive System Surgical Procedures; Diverticulum; Female; Gastrointestinal Hemorrhage; Humans; Intestinal Obstruction; Intestinal Perforation; Jejunal Diseases; Male; Middle Aged; Treatment Outcome
PubMed: 18855994
DOI: 10.3748/wjg.14.5916 -
Journal of the American Veterinary... Jul 2015
Topics: Animals; Animals, Zoo; Atelinae; Calculi; Cecal Diseases; Diverticulum; Male; Monkey Diseases
PubMed: 26086226
DOI: 10.2460/javma.247.1.47 -
Medizinische Klinik (Munich, Germany :... Jan 2006
Comparative Study Review
Topics: Acute Disease; Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Anti-Inflammatory Agents, Non-Steroidal; Diagnosis, Differential; Diverticulitis; Diverticulosis, Colonic; Diverticulum; Gastrointestinal Agents; Humans; Male; Mesalamine; Middle Aged; Peritonitis; Prognosis; Recurrence; Rifamycins; Rifaximin; Risk Factors; Tomography, X-Ray Computed
PubMed: 16418814
DOI: 10.1007/s00063-006-1007-y -
The American Surgeon Apr 1990Acquired (non-Meckel's) ileal diverticular disease is uncommon, and most surgeons have limited, if any, experience with this condition. To gain insight into the... (Review)
Review
Acquired (non-Meckel's) ileal diverticular disease is uncommon, and most surgeons have limited, if any, experience with this condition. To gain insight into the frequency of surgical complications of ileal diverticula, we reviewed our experience during the past ten years with 21 patients, 12 women, and nine men. The mean patient age was 62 years; 16 patients (76%) were more than 50 years of age. Thirteen patients had associated diverticula in another segment of the small intestine. In 15 patients ileal diverticulosis was diagnosed during gastrointestinal (GI) radiologic evaluation of abdominal symptomatology. Ileal diverticula were identified intraoperatively in the remaining six patients. In three patients ileal diverticulosis was an incidental finding. Documented surgical complications of acquired ileal diverticula occurred in four patients (19%). Three patients had acute diverticular perforation, and one patient had diverticulitis without perforation. These patients underwent successful operative intervention. Three other patients, all managed nonoperatively, had abdominal symptoms that may have been related to ileal diverticula and were of potential surgical significance. Two patients experienced recurrent rectal bleeding, and the third patient had severe chronic abdominal pain. Although the majority of patients with acquired ileal diverticula do not require surgical treatment, complications such as perforation, bleeding, or incapacitating abdominal pain may necessitate ileal resection.
Topics: Adult; Aged; Aged, 80 and over; Diverticulum; Evaluation Studies as Topic; Female; Humans; Ileal Diseases; Male; Middle Aged; Retrospective Studies
PubMed: 2114067
DOI: No ID Found -
Scandinavian Journal of Gastroenterology Apr 2024Diverticulosis is a common condition and is thought to be increasing in the Western population. Several studies have attempted to estimate the prevalence of... (Observational Study)
Observational Study
BACKGROUND
Diverticulosis is a common condition and is thought to be increasing in the Western population. Several studies have attempted to estimate the prevalence of diverticulosis and it's inflamed state, diverticulitis, with results varying depending on study population and methodology, The aim of this study was to investigate the prevalence of diverticulosis in patients undergoing colonoscopy at a Swedish academic referral centre and to study the incidence of diverticulitis in a 10-year follow-up.
METHODS
All patients who had undergone colonoscopy at the Endoscopy unit, Skåne University Hospital, Sweden, during 01 January 2010 through 31 December 2011 were identified. The colonoscopy referrals, colonoscopy reports, and medical records until 14 June 2022 were reviewed.
RESULTS
In all, 2648 patients were included in the study, whereof 910 patients had reported diverticulosis (34.4%). During the 10-year follow-up, the overall incidence of computed tomography verified diverticulitis was 4.4%, and 0.6% for patients with and without diverticulosis at index colonoscopy, respectively. Of the 50 patients that developed diverticulitis, 21 were complicated and 29 uncomplicated.
CONCLUSION
Diverticulosis is a common condition in the population, although most patients will not develop diverticulitis.
Topics: Humans; Diverticulitis, Colonic; Sweden; Diverticulitis; Diverticulum; Retrospective Studies; Colonoscopy
PubMed: 38206087
DOI: 10.1080/00365521.2023.2301345 -
JBR-BTR : Organe de La Societe Royale... 2013
Topics: Diverticulum; Humans; Jejunal Diseases; Male; Middle Aged; Tomography, X-Ray Computed
PubMed: 24224315
DOI: 10.5334/jbr-btr.308 -
The Practitioner Nov 1952
Topics: Diverticulitis; Diverticulum; Humans
PubMed: 13003780
DOI: No ID Found -
Digestive Surgery 2006
Topics: Appendectomy; Appendicitis; Appendix; Cecal Diseases; Diverticulum; Humans; Male; Middle Aged
PubMed: 16636551
DOI: 10.1159/000092801 -
Neuro Endocrinology Letters Mar 2021Jejunal diverticulosis is a rare diagnosis that occurs mainly in old age, more often in men than in women. It is usually an incidental diagnosis of unclear aethtiology....
INTRODUCTION
Jejunal diverticulosis is a rare diagnosis that occurs mainly in old age, more often in men than in women. It is usually an incidental diagnosis of unclear aethtiology. In some cases, visceral myopathy can also be the cause. It is most often manifested by abdominal pain and bleeding. Bleeding from the small intestinal diverticula represents only 0.6-5% of all small intestinal bleeding.
CASE REPORT
The authors describe the case of a 66-year-old man with massive gastrointestinal bleeding who did not respond to conservative hemostyptic treatment. Following negative gastrofibroscopic and colonoscopic examinations, an angioCT examination was indicated, which revealed a source of bleeding in the jejunal diverticula. The patient was indicated for surgical treatment. The extent of bleeding was determined by perioperative enteroscopy and subsequently, the affected jejunal segment was segmentally resected with a primary anastomosis.
CONCLUSION
Bleeding from the jejunal diverticula is a very rare diagnosis, which poses challenges in the diagnostic process in particular. Capsule enteroscopy plays an important role in the diagnosis, as well as CT angiography and scintigraphy in the event of massive bleeding. In addition to conservative treatment, the embolization of a bleeding vessel may subsequently be used in therapy. In indicated cases, surgical resection treatment is also possible.
Topics: Aged; Diverticulum; Female; Gastrointestinal Hemorrhage; Humans; Intestine, Small; Jejunal Diseases; Male
PubMed: 33930938
DOI: No ID Found