What is Periampullary duodenal diverticulum?

What is Periampullary duodenal diverticulum?

Background and Endoscopic Procedure Periampullary diverticula are extraluminal mucosal outpouchings of the duodenum with presence of the papilla within the diverticulum. It is the most common anomaly that causes difficulty with the cannulation of the common bile duct or pancreatic duct.

What is a small duodenal diverticulum?

A duodenal diverticulum (the plural of which is diverticula) is a pouch attached to the duodenum, the second part of the small intestine just past the stomach.

Is duodenal diverticulum serious?

Duodenal diverticula need clinical attention because they carry the risk of serious complications. Complications such as gastrointestinal bleeding, biliary or pancreatic duct obstruction, obstructive ileus and perforation have been reported [1-7].

Is duodenal diverticulum normal?

Duodenal diverticula are a rare cause of symptoms and there mere presence is not an indication for operation. Even though duodenal diverticula may be present in 20% of the population, such patients are generally asymptomatic. Duodenal diverticula will certainly complicate management of common bile duct stones.

Do diverticula ever go away?

Once diverticula form, they do not disappear by themselves. Fortunately, most patients with diverticulosis do not have symptoms, and therefore do not need treatment.

Is duodenal diverticulum painful?

Only a small percentage of 1–5% of Duodenal Diverticula (DD) will cause symptoms such as pain, hemorrhage, inflammation (diverticulitis), jaundice, cholangitis or, in especially rare cases, perforation [3, 4].

How common is duodenal diverticulum?

The duodenum is the second most common site for diverticula following the colon [1]. The incidence of duodenal diverticula (DD) is estimated to be 22% [1]. It is usually located near the papilla of Vater [1].

How is duodenal diverticulum treated?

Perforation is a rare but potentially lethal complication of duodenal diverticular disease. Surgery remains the mainstay of treatment for perforated duodenal diverticula. In recent years, a few cases were successfully managed either conservatively or with endoscopy.

Can duodenal diverticulum cause back pain?

The most common symptoms are upper abdominal pain radiating to the back, intermittent diarrhea, constipation and weight loss [9,10]. The differential diagnosis for small bowel diverticulum is acute or chronic pancreatitis, cholecystitis, small bowel obstruction, or peptic ulcer disease [2-4].