Repair of a perforated duodenal diverticulum using intraduodenal suture in 94 year old woman: A case report

Maki, Hidenori; Yuasa, Yasuhiro; Matsuo, Yuta; Mori, Osamu; Tomibayashi, Atsushi

doi:10.1016/j.ijscr.2020.04.083

Cited by 7 publications

(10 citation statements)

References 6 publications

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“…Entretanto, a maior parte dos casos são assintomáticos, sendo as complicações, como perfuração e sangramento raras. O diagnóstico pode ser feito pela endoscopia, radiografia com contraste do trato gastrointestinal superior, tomografia, arteriografia seletiva, e mais comumente como achado diagnóstico transoperatório (COSTA SIMÕES et al, 2014GLENER et al, 2016;MAKI et al, 2020).…”

Section: Discussionunclassified

“…Geralmente, inespecíficos como dor abdominal, náuseas, vômitos e febre, hematêmese e enterorragia são manifestações clínicas atípicas. Alguns fatores explicam a menor ocorrência de eventos inflamatórios nos divertículos duodenais comparados aos colônicos como o diâmetro maior, menor tempo de esvaziamento intraluminal e menor quantidade de bactérias locais (POSEY, ;ACKERMANN, 1943;THORSON et al, 2012;ANDREA, 2013;COSTA SIMÕES et al, 2014;GLENER et al, 2016;MAKI et al, 2020).…”

Section: Introductionunclassified

“…A perfuração diverticular, descrita por Basset em 1907 em autópsia, é muito rara, porém com mortalidade de até 20%. A etiologia da perfuração pode resultar da digestão péptica, úlcera duodenal, enterocolitos, trauma abdominal contuso ou iatrogenia durante CPRE (ACKERMANN, 1943;THORSON et al, 2012;GLENER et al, 2016;MAKI et al, 2020).…”

Section: Introductionunclassified

“…O diagnóstico dos divertículos duodenais é dado pela tomografia computadorizada de abdome, no entanto, exames laboratoriais como hemograma, leucograma, marcadores inflamatórios e eletrólitos séricos são uteis na programação terapêutica (COSTA SIMÕES et al, 2014GLENER et al, 2016;MAKI et al, 2020).…”

Section: Introductionunclassified

“…O tratamento cirúrgico da perfuração do divertículo duodenal requer do cirurgião compreensão das técnicas de manejo duodenal para adequada flexibilidade que a abordagem pode exigir (ENGEL, ;MAKI et al, 2020). Esse trabalho objetiva relatar a condução clínica e cirúrgica dessa condição rara.…”

Section: Introductionunclassified

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Análise De Matriz De Risco De Um Hospital Particular Da Cidade De Rio Verde (Go)

Paula¹,

Paula²,

Pereira³

et al. 2020

Medicina: Elevados Padrões De Desempenho Técnico E Ético 2

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Section: Discussionunclassified

Section: Introductionunclassified

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Análise De Matriz De Risco De Um Hospital Particular Da Cidade De Rio Verde (Go)

Paula¹,

Paula²,

Pereira³

et al. 2020

Medicina: Elevados Padrões De Desempenho Técnico E Ético 2

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A systematic review of the perforated duodenal diverticula: lessons learned from the last decade

Kapp

Müller

Gertsch

et al. 2021

Langenbecks Arch Surg

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Background The perforated duodenal diverticulum remains a rare clinical entity, the optimal management of which has not been well established. Historically, primary surgery has been the preferred treatment modality. This was called into question during the last decade, with the successful application of non-operative therapy in selected patients. The aim of this systematic review is to identify cases of perforated duodenal diverticula published over the past decade and to assess any subsequent evolution in treatment. Methods A systematic review of English and non-English articles reporting on perforated duodenal diverticula using MEDLINE (2008–2020) was performed. Only cases of perforated duodenal diverticula in adults (> 18 years) that reported on diagnosis and treatment were included. Results Some 328 studies were identified, of which 31 articles met the inclusion criteria. These studies included a total of 47 patients with perforated duodenal diverticula. This series suggests a trend towards conservative management with 34% (16/47) of patients managed non-operatively. In 31% (5/16) patients initially managed conservatively, a step-up approach to surgical intervention was required. Conclusion Conservative treatment of perforated duodenal diverticula appears to be an acceptable and safe treatment strategy in stable patients without signs of peritonitis under careful observation. For patients who fail to respond to conservative treatment, a step-up approach to percutaneous drainage or surgery can be applied. If surgery is required, competence in techniques ranging from simple diverticulectomy to Roux-en-Y gastric diversion or even Whipple’s procedure may be required depending on tissue friability and diverticular collar size.

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Spontaneous Perforated Duodenal Diverticulum: Wait or Cut First?

Farné¹,

Lauro

Vaccari

et al. 2021

Dig Dis Sci

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Repair of a perforated duodenal diverticulum using intraduodenal suture in 94 year old woman: A case report

Cited by 7 publications

References 6 publications

Análise De Matriz De Risco De Um Hospital Particular Da Cidade De Rio Verde (Go)

Análise De Matriz De Risco De Um Hospital Particular Da Cidade De Rio Verde (Go)

A systematic review of the perforated duodenal diverticula: lessons learned from the last decade

Spontaneous Perforated Duodenal Diverticulum: Wait or Cut First?

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