Jejunal Diverticulosis: A Clinical Study of 87 Cases

Baskin, Roy H.; Mayo, Charles W.

doi:10.1016/s0039-6109(16)33700-8

Cited by 75 publications

(63 citation statements)

References 8 publications

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“…Small bowel diverticula are less common but have been found in 0.5% to 5% of radiographs and autopsies [15,16] . In our study, 11 patients (12%) who were referred for DBE were found to have diverticula.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of community based video capsule endoscopy in patients undergoing follow up double balloon enteroscopy

Tenembaum

Sison²,

Rubin³

2013

WJGE

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AIM:To determine the test characteristics of community based video capsule endoscopy (VCE) in patients undergoing sequential VCE and double balloon enteroscopy (DBE). METHODS:Eighty-nine patients (34 females, 55 males, mean age 66) who underwent both VCE and DBE from 2008-2010 were retrospectively reviewed. Lesions detected at VCE were categorized. Capsule directed DBE followed and included 44 antegrade, 11 retrograde and 34 combined antegrade and retrograde procedures. Lesions detected were compared utilizing the McNemar's test. RESULTS:Angioectasia detection with VCE was 25% and with DBE 35% (P < 0.03) with a calculated sensitivity and specificity of 58% and 93% respectively. Polyps were detected by VCE in 22% and in DBE 20%, (P = 0.6), with a sensitivity and specificity for VCE of 61% and 87%. Small bowel diverticula were only seen in 1% of VCE but in 12% of DBE patients (P < 0.002) with a calculated sensitivity and specificity of VCE of 9% and 100%.CONCLUSION: VCE would be moderately sensitive and specific overall with considerable variation by lesion. Furthermore, VCE cannot be relied upon to diagnose small bowel diverticula.© 2013 Baishideng. All rights reserved.Key words: Video capsule endoscopy; Double balloon enteroscopy; Angioectasia; Diverticulosis; Obscure gastrointestinal bleeding Core tip: Advances in endoscopic technology have revolutionized the evaluation of small intestinal disorders. Non-invasive imaging utilizing video capsule endoscopy (VCE) offers the potential to safely visualize the entire small bowel with a high diagnostic yield. It is limited by a lack of therapeutic ability, imprecise localization, failure to reach the colon in all cases and inconsistent visualization of the entire small bowel. Deep enteroscopy, utilizing double balloon enteroscopy (DBE), enables diagnostic and therapeutic endoscopy of the small bowel. Although total enteroscopy can be accomplished, it typically requires antegrade and retrograde approaches. In most clinical situations, VCE is performed initially. By using DBE as the criterion (gold) standard, the sensitivity and specificity of community based VCE can be assessed for individual lesions, offering a more informative comparison than diagnostic yield.

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Section: Discussionmentioning

confidence: 99%

Accuracy of community based video capsule endoscopy in patients undergoing follow up double balloon enteroscopy

Tenembaum

Sison²,

Rubin³

2013

WJGE

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“…One hypothesis is that the condition arises from ulceration of the mucosa in the diverticulum or the tearing of the blood vessels in response to irritation in the intestines due to the contents and/or distention. 2 However, ulceration in the specimen has not been observed in several cases. 8 In our second case, a lesion with ulceration involving loss of epithelium on the base of the diverticulum was observed on pathological examination.…”

Section: Discussionmentioning

confidence: 98%

Jejunal Diverticulosis Cases Involving Massive Gastrointestinal Bleeding and Diagnosed Incidentally: A Report of Two Cases

Karakoyun¹,

Merter²,

Altun³

et al. 2015

Turkiye Klinikleri J Case Rep

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239J ejunal diverticulosis is a rare condition typically diagnosed incidentally during laparotomy or radiological examination. Although its incidence remains unclear, it is estimated to range between 0.073% and 1.3%, specifically between 0.073% and 1.3% on radiological examination and between 0.073% and 0.8% on autospy.1 The condition may be congenital or acquired and is associated with advanced age, with the incidence increasing in the sixth and seventh decades of life.2 Among small-intestine diverticulum cases other than those involving the duodenum, 80% have been observed in the jejunum, 15% in the ileum, and 5% in both.3 The probability of a complication is approximately 10% to 30%, among which acute complications include diverticulitis with perforation and abscess, bleeding, and mechanical intestinal obstruction. A AB BS ST TR RA AC CT T Jejunal diverticulosis is a rarely encountered condition typically diagnosed incidentally during laparotomy or radiological examination. Despite its rarity, this condition poses a serious risk of mortality and morbidity in the event of complications. Massive gastrointestinal (GI) bleeding due to jejunal diverticulosis is a particularly serious risk, evidenced by its high rate of mortality as a result of delayed diagnosis. A 60-year old female and a 75-year old female patients were admitted to the emergency department due to gastrointestinal bleeding. The diagnosis of jejunal diverticulosis was established during the operation. Here we present two cases in which we incidentally diagnosed jejunal diverticulosis during surgical treatment of massive lower and upper GI hemorrhage originating from the subject matter condition.K Ke ey y W Wo or rd ds s: : Gastrointestinal hemorrhage; emergency treatment Ö ÖZ ZE ET T Jejunal divertikülozis nadir görülür ve genellikle laparotomi veya radyolojik araştırmalarda tesadüfi olarak saptanır. Fakat, bu durum komplikasyonlara yol açtığında mortalite ve morbiditeye neden olabilir. Özellikle jejunal divertikülozise bağlı masif gastrointestinal kanamada gecikmiş tanıya bağlı mortalite oranı oldukça yüksektir. 60 yaşında ve 75 yaşında bayan hastalar acile gastrointestinal kanama şikayeti ile başvurdular. Hastalara jejunal divertikülozis tanısı ameliyat esnasında konuldu. Biz bu çalışmada sebebi bulunamayan alt ve üst gastrointestinal kanama nedeniyle ameliyat edilen hastalarda insidental saptanan jejunal divertikülozis olguları sunuyoruz.A An na ah ht ta ar r K Ke el li im me el le er r: : Gastrointestinal kanama; acil tedavi T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J C Ca as se e R Re ep p 2 20 01 15 5; ;2 23 3(

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“…Jejunal diverticula may be the only site in the gastrointestinal tract. Of these diverticula, 35% are associated with colonic diverticula, 26% with duodenal diverticula and 2% with oesophageal diverticula, respectively [7,8] . Small bowel diverticula are frequently encountered in the elderly and have a slight male predominance [9] .…”

Section: Discussionmentioning

confidence: 99%

Jejunal diverticulosis is not always a silent spectator: A report of 4 cases and review of the literature

Patel¹,

Jefferis²,

Spiegelberg³

et al. 2008

WJG

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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.

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Jejunal Diverticulosis: A Clinical Study of 87 Cases

Cited by 75 publications

References 8 publications

Accuracy of community based video capsule endoscopy in patients undergoing follow up double balloon enteroscopy

Accuracy of community based video capsule endoscopy in patients undergoing follow up double balloon enteroscopy

Jejunal Diverticulosis Cases Involving Massive Gastrointestinal Bleeding and Diagnosed Incidentally: A Report of Two Cases

Jejunal diverticulosis is not always a silent spectator: A report of 4 cases and review of the literature

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