Localización con azul de metileno de la hemorragia digestiva originada en divertículos yeyunales

Piñero, Y. Hernández; Malagón, Antonio Martín; Romero, Francisco Diaz; E, Fernández; González, I.J.

doi:10.1016/s0009-739x(07)71337-4

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…There is a case report of jejunal diverticular haemorrhage diagnosed by angiography, where a highly selective microcatheter was placed in the bleeding site to achieve staining of the lesion with intraoperative methylene blue 35…”

Section: Discussionmentioning

confidence: 99%

Digestive bleeding due to jejunal diverticula: diagnosis and management

Dagnesses Fonseca,

Danes Grases,

Luengo Batres

et al. 2024

BMJ Case Rep

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Section: Discussionmentioning

confidence: 99%

Digestive bleeding due to jejunal diverticula: diagnosis and management

Dagnesses Fonseca,

Danes Grases,

Luengo Batres

et al. 2024

BMJ Case Rep

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“…Häufi-ger sind Meteorismus oder kolikartige Schmerzen wegen einer sekundären bakteriellen Überwucherung des Dünndarms wegen der Divertikel [10] und Zeichen eines Malassimilationssyndroms. Mit neuen endoskopischen Methoden wie der Kapselendoskopie und der Ballonenteroskopie (Doppelballonenteroskopie, Singleballonenteroskopie) [23,59] gelingt die Diagnosestellung der Divertikel einfacher als mit traditionellen Techniken. Es fallen in der Endoskopie aber auch Dünndarmdivertikel als Zufallsbefunde auf oder es ist ein Zusammenhang zu den Beschwerden des Patienten nicht eindeutig herzustellen, und es stellt sich dann die Frage nach der therapeutischen Konsequenz.…”

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“…Jahrhundert wurden dann radiologische Methoden zum präoperativen Nachweis der Divertikel entwickelt: Durch Röntgentechniken mit oraler Kontrastmittelgabe[43], nach intravenöser Kontrastmittelgabe (i. v. Galle, insbesondere Duodenaldivertikel), mit der Computertomografie (CT) und der Magnetresonanztomografie (MRT) waren Divertikel des Dünndarms immer besser nachzuweisen. Zwar können duodenale Divertikel seit Einführung der flexiblen Endoskopie direkt visualisiert werden[18], aber erst seit wenigen Jahren stehen endoskopische Methoden wie die Ballonenteroskopieverfahren und die Kapselendoskopie zur Verfügung, die den ganzen Dünndarm inspizieren können[23].…”

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Die Divertikelkrankheit des Dünndarms im Zeitalter der Dünndarmendoskopie

Albert¹,

Lübbert

Surow

et al. 2009

Z Gastroenterol

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Diverticula of the small bowel are quite frequent (about 5 %), but being a differential diagnosis of abdominal complaints they may still be underdiagnosed. One reason for the low level of suspicion for a complication of small bowel diverticula might be that the small bowel was out of the gastroenterologists' focus until recently when small bowel endoscopy became available as a reliable and practical diagnostic tool. Diverticula of the jejunum and the ileum may lead to diverticulitis, abscess, obstruction, bleeding, and perforation. Small intestinal bacterial overgrowth syndrome due to small bowel diverticula is a common complication and involves meteorism and malassimilation syndrome. Meckel's diverticulum sometimes provokes bleeding even in the young adult and resection of the diverticulum is clearly indicated. Contrariwise, incidental detection of a Meckel's diverticulum during abdominal laparotomy does not necessarily imply resection of the diverticulum. The juxtapapillary duodenal diverticula appear to be a risk factor for gallbladder stones, bile duct stones, and their recurrence. Moreover, the complication rate of endoscopic interventions of the bile system might be increased. In this review, we highlight the historical background of small bowel diverticular disease, present the epidemiological and pathophysiological implications and provide information on the diagnostic modalities that are available. Diseases of the primary acquired and congential small bowel diverticula are described in detail.

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Abdominal pain and faeculent vomiting in a 64-year-old woman

2016

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SUMMARYA 64-year-old woman with a previous right colectomy presented with severe epigastric abdominal pain and nausea of several weeks' duration, which then escalated to projectile faeculent emesis. During her clinical course, she remained afebrile with normal vital signs. Physical examination revealed abdominal distension, moderate tenderness in the bilateral upper quadrants and provoked voluntary abdominal wall guarding. Haematology and laboratory chemistries were only notable for a mild (14.6 K/μL) leucocytosis. Acute abdominal plain radiological series revealed dilated small bowel loops and possible pneumoperitoneum. Abdominal CT demonstrated a mechanical small bowel obstruction and no extraluminal air. An exploratory laparotomy was performed, revealing an obstructing enterolith related to actively inflamed jejunal diverticulitis (complicated JD). This case report aims to describe the non-specific presentation of a poorly understood disease entity that presents a diagnostic and therapeutic challenge for the medical community. BACKGROUND

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Localización con azul de metileno de la hemorragia digestiva originada en divertículos yeyunales

Cited by 3 publications

References 5 publications

Digestive bleeding due to jejunal diverticula: diagnosis and management

Digestive bleeding due to jejunal diverticula: diagnosis and management

Die Divertikelkrankheit des Dünndarms im Zeitalter der Dünndarmendoskopie

Abdominal pain and faeculent vomiting in a 64-year-old woman

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