A Lateral Duodenal Diverticulum

Holmes, Alberta; Woodward, W. W.

doi:10.1111/j.1445-2197.1964.tb03877.x

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…True primary diverticula which occur in the second, third, and fourth parts are pulsion diverticula with no muscle-coat, whereas the secondary diverticula in the first part contain all normal layers of the bowel. I n general the site of origin is on the concave border, although a few lateral diverticula in the second part have been recorded (Horton and Peacock, 1953;Lane, 1960;Holmes and Woodward, 1964;Parkinson, 1967). In some cases the fundus of the diverticulum may extend past the lateral border giving a false impression on barium studies.…”

Section: Discussionmentioning

confidence: 99%

Duodenal diverticulum treated by excision of mucosal pouch only

Slater

1971

Journal of British Surgery

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active ulcers. No active ulcers were recorded in any of our patients. The pseudodiverticula were not ulcer craters because of the absence of rigidity and tenderness and the contractility of the pouches. Moreover, there was no history suggestive of recurrence of the ulcer. I n the absence of cine-radiographic studies the transit time for the barium suspension to traverse the distance between the cardio-oesophageal junction and the duodenojejunal flexure can be a useful guide as to the patency of the gastroduodenal channel, mindful of the fact that it can be modified by the shape and size of the stomach and peristaltic activity. However, the transit time from the cardiooesophageal junction to the duodenojejunal flexure in post-pyloroplasty patients was shorter than in normal subjects (Bohrer, 1969). The configuration of the gastroduodenal channel in group 2 patients is considered to represent an unsuccessful pyloroplasty (Bloch and Wolf, 1965) although a majority of these patients are asymptomatic (Wilkins, 1953).T h e results of vagotomy and pyloroplasty in the treatment of duodenal ulceration in Nigerians have been satisfactory and compare favourably with the findings of other workers (Ellis and others, 1966).T h e incidence of diarrhoea in this series is over 35 per cent, although less than 5 per cent of the patients required treatment. Our results, although only followed to a maximum of 5 years after operation, were generally satisfactory. This procedure appears to be a reasonable form of treatment to offer our patients provided the necessary precautions are taken.

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Section: Discussionmentioning

confidence: 99%