Abstract

BACKGROUND: Although duodenal diverticula are associated with less frequent pathology than the colonic diverticula in the large intestine, their periampullary position may have significant clinical implications. The aim of the study was to identify any possible correlation between the type of localisation of the major duodenal papilla, duodenal diverticula, and some particular clinical issues.
MATERIALS AND METHODS: In total, 628 patients (408 females and 220 males; aged 21–91 years), who underwent endoscopic retrograde cholangiopancreatography were included in this study. The patients were divided into two groups: a study group comprising 66 (10.5%) patients with periampullary position of diverticula (group A), and a control group comprising 562 (89.5%) patients without diverticula (group B).
RESULTS: A duodenal diverticulum was diagnosed in the periampullary position in 66/628 (10.5%) patients: 41 women (aged 52–91 years) and 25 men (aged 54–83 years).
CONCLUSIONS: Three types of localisation were observed for the major duodenal papilla with regard to the diverticula, with the most common type being next to each other (type III). In patients with diverticula, similar frequencies of gallstone occurrence are observed in men and women. Patients with papilla in the diverticulum who underwent cholecystectomy are more prone to develop lithiasis.

Details

Title
The position of a duodenal diverticulum in the area of the major duodenal papilla and its potential clinical implications
Author
Jakubczyk, E. 1 ; Pazurek, M. 2 ; Mokrowiecka, A. 2 ; Woźniak, B. 2 ; Małecka-Panas, E. 2 ; Podgórski, M. 3 ; Polguj, M. 1   VIAFID ORCID Logo  ; Topol, M. 4 

1  Department of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Lodz, Poland 
2  Department of Digestive Tract Diseases, Chair of Gastroenterology, Medical University of Lodz, Poland 
3  Department of Diagnostic Imaging, Polish Mother’s Memorial Hospital — Research Institute, Lodz, Poland 
4  Department of Angiology, Chair of Anatomy and Histology, Medical University of Lodz, Poland. [email protected] 
First page
106
End page
113
Publication year
2021
Publication date
2021
Publisher
Wydawnictwo Via Medica
ISSN
00155659
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.5603/FM.a2020.0012
ProQuest document ID
2692732796
Copyright
© 2021. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.