Dünndarmdivertikel

Abstract

Aquired diverticula of the small bowel (not Meckel?s diverticulum) have a prevalence of 1 to 5 % and are relatively common. They are usually asymptomatic. However, in rare cases they can cause unspecific abdominal symptoms and even critical complications that require surgical intervention. Patients with diverticula of the small bowel were selected from all patients treated at an university hospital of maximal care in a retrospective study covering nine years. In 72 patients with diverticula, 47 % were asymptomatic, 47 % had unspecific abdominal symptoms and 6 % presented acute complications. In 83 % diverticula were localised in the duodenum and proximal jejunum. More distal parts of the small intestine were affected with decreasing frequency. A disseminated affection of the entire small bowel was found in 4 % of all patients. Diagnosis was made by endoscopic techniques in most cases (87 %) and to a smaller extent by CT- and MR-imaging and by other methods. The pattern of complications found is similar to earlier studies. Endoscopic techniques have replaced enteroclysis as the most widespread diagnostic technique in diagnosis of small bowel diverticula.

Giant Diverticulum of the Duodenum

“…After the 1970s, the widespread use of endoscopic retrograde cholangiopancreatography (ERCP) led to increased diagnosis of juxtapapillary duodenal diverticula [16]. Endoscopic techniques have been described as having replaced enteroclysis and to be the gold standard in diagnosing duodenal diverticula [15, 17]. CT has been reported as having a 71% sensitivity as compared to barium contrast studies [7].…”

Jejunal Diverticulitis: A Rare Diverticular Disease of the Bowel

“…Enteroscopy is another diagnostic option [11]. However, in recent years, endoscopy has replaced radiological methods and has been widely used for diagnosis [12]. A review of literature also showed that small bowel diverticulosis may be associated with hereditary neuromuscular disorders such as Cronkite-Canada syndrome, lipid storage disorders, Fabry's disease, and sphingolipidosis [13].…”