Recurrent intra-abdominal abscess formation due to a gastric diverticulum

Pietrzak, Constance; Leya, Jack; Yonick, David; Gupta, Neil

doi:10.1055/s-0033-1344768

Cited by 8 publications

(5 citation statements)

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“…It has been hypothesized that retention of food followed by the release of digestive juices inside the mucosal sac can cause inflammation, resulting in diverticulitis and possibly ulceration, hemorrhage, or even perforation [26, 27]. Also, GD have been reported very rarely to be associated with abscess formation and adenocarcinoma [28-31]. …”

Section: Clinical Manifestationsmentioning

confidence: 99%

Gastric Diverticulum: A Comprehensive Review

et al. 2018

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Background: Gastric diverticula (GD) are outpouchings of the stomach wall that typically form in the fundus. They are the least common gastrointestinal diverticula, and are very rare anatomic abnormalities overall. Summary: Although most GD are asymptomatic and are usually discovered incidentally during routine diagnostic testing, they can present with variable symptoms. Occasionally, complications can develop that may be life-threatening and are indications for surgical management. Key Messages: Here, we provide a literature review of GD where we discuss the pathogenesis, clinical manifestations, investigations and diagnostic approach, and various management options for this uncommon disorder.

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Section: Clinical Manifestationsmentioning

confidence: 99%

Gastric Diverticulum: A Comprehensive Review

et al. 2018

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“…The histopathology of GD depends on the type and any underlying or concomitant pathology. Most commonly they contain normal gastric mucosa; however, chronic gastritis, 5 heterotopic pancreatic tissue, 6 adenocarcinoma, 7,8 and hamartoma 9 have all been reported.…”

Section: Resultsmentioning

confidence: 99%

Gastric diverticulum: a contemporary review and update in management

Morris,

Allaway,

Mwagiru

et al. 2023

ANZ Journal of Surgery

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BackgroundGastric diverticula (GD) are the rarest form of gastrointestinal tract diverticulum, with an estimated incidence of 0.013–2.6%. GD are poorly understood and there are no established management guidelines. Only sparse updates have been published since the mid‐20th century. This paper reviews the current literature and provides some suggested guidelines for the management of GD.MethodsA search of Medline via OvidSP and Google Scholar for ‘gastric diverticulum’ and associated synonyms from the year 1950 onwards was performed. We included randomized controlled trials (RCTs), cohort and case–control studies, and case series. Full text, English language manuscripts on adult populations were included.ResultsA total of 103 manuscripts were included in the final selection – 77 individual case studies, 23 case series and three reviews. No RCTs, cohort or case–control studies were found. The case studies represent 305 patients, 50.8% female with average age 49.2 years (range 18–80). The most common symptom was abdominal pain (48.2%). The average maximum diameter was 3.97 cm (range 0.5–9). One hundred and four patients were managed operatively. Despite persistent recommendations in the literature that GD > 4 cm should be considered for resection, there are no data supporting this approach.ConclusionThe evidence pertaining to the management of GD is sparse. The decision for operative management should be individualized and based primarily on the presence of symptoms or complications which may be directly attributable to the GD. Where surgery is indicated, a laparoscopic approach, potentially with intra‐operative gastroscopy, is appropriate.

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“…Nonetheless, gastric diverticula can be a cause of complications such as a hemorrhage, perforation, abscess, or malignancy [5][6][7][8].…”

Section: Gastric Diverticula and Sleeve Gastrectomymentioning

confidence: 99%

Management of Large Subcardial Diverticula in Sleeve Gastrectomy: Technical Tips

et al. 2023

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Gastric diverticula are uncommon anatomic abnormalities that are usually asymptomatic or found incidentally in upper gastrointestinal radiographs with contrast or endoscopy. Gastric diverticula usually arise from the wall of the gastric fundus. Their preoperative study or intraoperative finding is of great importance in patients with obesity who are scheduled for bariatric surgery. In bariatric surgery, and especially in sleeve gastrectomy, it is of utmost importance to know the exact location of the diverticulum in order to position the stapler correctly and to perform appropriate gastric resection including the diverticulum. Sleeve gastrectomy has gained popularity worldwide and currently accounts for the most performed bariatric procedure according to more recent international surveys. It is considered to be a technically easy procedure. Nonetheless, some steps of the procedure, such as gastric fundus mobilization and the gastric resection with the use of the stapler, may be challenging in patients with a high BMI and in the presence of abnormalities of the gastric wall. This can represent a risk for the occurrence of complications such as a gastric leak or bleeding. We propose some considerations about technical tips to adopt for safely performing sleeve gastrectomy in the presence of a subcardial diverticulum.

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Recurrent intra-abdominal abscess formation due to a gastric diverticulum

Abstract: This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

Cited by 8 publications

References 0 publications

Gastric Diverticulum: A Comprehensive Review

Gastric Diverticulum: A Comprehensive Review

Gastric diverticulum: a contemporary review and update in management

Management of Large Subcardial Diverticula in Sleeve Gastrectomy: Technical Tips

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