open access

Ahead of Print
ORIGINAL ARTICLES
Published online: 2020-02-05
Submitted: 2019-08-15
Accepted: 2020-01-07
Get Citation

The position of a duodenal diverticulum in the area of the major duodenal papilla and its potential clinical implications

E. Jakubczyk, M. Pazurek, A. Mokrowiecka, B. Woźniak, E. Małecka-Panas, M. Podgórski, M. Polguj, M. Topol
DOI: 10.5603/FM.a2020.0012
·
Pubmed: 32020575

open access

Ahead of Print
ORIGINAL ARTICLES
Published online: 2020-02-05
Submitted: 2019-08-15
Accepted: 2020-01-07

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 localization 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 ERCP (endoscopic retrograde cholangiopancreatography) were included in this study. The patients were divided into two groups: a study group comprising 66 patients (10.5%) with periampullary position of diverticula (Group A), and a control group comprising 562 patients (89.5%) 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). Conclusions: Three types of localization 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.

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 localization 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 ERCP (endoscopic retrograde cholangiopancreatography) were included in this study. The patients were divided into two groups: a study group comprising 66 patients (10.5%) with periampullary position of diverticula (Group A), and a control group comprising 562 patients (89.5%) 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). Conclusions: Three types of localization 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.

Get Citation

Keywords

duodenal diverticula, ERCP, choledocholithiasis, major duodenal papilla

About this article
Title

The position of a duodenal diverticulum in the area of the major duodenal papilla and its potential clinical implications

Journal

Folia Morphologica

Issue

Ahead of Print

Published online

2020-02-05

DOI

10.5603/FM.a2020.0012

Pubmed

32020575

Keywords

duodenal diverticula
ERCP
choledocholithiasis
major duodenal papilla

Authors

E. Jakubczyk
M. Pazurek
A. Mokrowiecka
B. Woźniak
E. Małecka-Panas
M. Podgórski
M. Polguj
M. Topol

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By  "Via Medica sp. z o.o." sp.k., Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl