Management of a windsock diverticulum by the use of novel submucosal dissection scissors

Bhalla, Sean; Yu, Jessica X.; Law, Ryan

doi:10.1016/j.vgie.2019.03.005

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…Nowadays, with advancements in endoscopy and imaging; endoscopic diverticulotomy or diverticulectomy is the treatment of choice. The endoscopy approach includes using needle-knife papillotomy, sphincterotomy, argon plasma coagulation, yttrium aluminum garnet (YAG) laser, and endostapler have been described [7][8][9][10][11][12][13][14][15][16][17]. In a study by Bhalla et al, the use of a novel technique reported as submucosal dissection scissors (SB knife, (Olympus, Shinjuku City, Tokyo, Japan)) and blended the longitudinal wall by electrocautery showed resolution of symptoms [14].…”

Section: Obstructionmentioning

confidence: 99%

“…The endoscopy approach includes using needle-knife papillotomy, sphincterotomy, argon plasma coagulation, yttrium aluminum garnet (YAG) laser, and endostapler have been described [7][8][9][10][11][12][13][14][15][16][17]. In a study by Bhalla et al, the use of a novel technique reported as submucosal dissection scissors (SB knife, (Olympus, Shinjuku City, Tokyo, Japan)) and blended the longitudinal wall by electrocautery showed resolution of symptoms [14]. There are reported cases of conservative management in obstructive IDD with no clear definite results due to high recurrence of symptoms [14,18].…”

Section: Obstructionmentioning

confidence: 99%

“…In a study by Bhalla et al, the use of a novel technique reported as submucosal dissection scissors (SB knife, (Olympus, Shinjuku City, Tokyo, Japan)) and blended the longitudinal wall by electrocautery showed resolution of symptoms [14]. There are reported cases of conservative management in obstructive IDD with no clear definite results due to high recurrence of symptoms [14,18].…”

Section: Obstructionmentioning

confidence: 99%

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An Uncommon Case of Intraluminal Duodenal Diverticulum Complicated by Recurrent Gastrointestinal Bleeding and Small Bowel Obstruction

Ta¹,

Sandhu²,

Mouchli³

2022

Cureus

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Intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly resulting from the failure of the duodenum to recanalize during embryogenesis leaving a duodenal diaphragm or web within the lumen of the duodenum. In theory, the peristaltic force gradually stretches the tissue over time forming a diverticulum within the duodenal lumen. Identification of IDD by endoscopy or diagnostic imaging can be difficult, these lesions can be mistaken for other lesions or the collapsed diverticulum can be overlooked. The median age of presentation is the fourth decade. Although most cases are asymptomatic, some can present with vague abdominal complaints such as bloating, nausea, abdominal discomfort, or pain. Complications of IDD are intestinal bleeding, biliary pancreatic symptoms, intestinal obstruction, and perforation. Management of IDD complications could be challenging since data are limited. We present an unusual case of a 78-year-old female presenting with acute chest pain, palpitations, and incidental findings of IDD and pancreatic divisum. Her course was complicated by recurrent gastrointestinal bleeding and small bowel obstruction.

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Section: Obstructionmentioning

confidence: 99%

Section: Obstructionmentioning

confidence: 99%

Section: Obstructionmentioning

confidence: 99%

See 1 more Smart Citation

An Uncommon Case of Intraluminal Duodenal Diverticulum Complicated by Recurrent Gastrointestinal Bleeding and Small Bowel Obstruction

Ta¹,

Sandhu²,

Mouchli³

2022

Cureus

View full text Add to dashboard Cite

show abstract

“…An intraluminal duodenal diverticulum is a rare congenital anomaly stemming from incomplete duodenal lumen formation during embryogenesis 1 2 3 4 5 . Over time, the remnant duodenal diaphragm resembles a windsock by elongation secondary to intestinal peristaltic movements 1 2 3 .…”

Section: Figmentioning

confidence: 99%