open access

Vol 80, No 1 (2021)
Original article
Submitted: 2019-08-15
Accepted: 2020-01-07
Published online: 2020-02-05
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The position of a duodenal diverticulum in the area of the major duodenal papilla and its potential clinical implications

E. Jakubczyk1, M. Pazurek2, A. Mokrowiecka2, B. Woźniak2, E. Małecka-Panas2, M. Podgórski3, M. Polguj1, M. Topol4
·
Pubmed: 32020575
·
Folia Morphol 2021;80(1):106-113.
Affiliations
  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

open access

Vol 80, No 1 (2021)
ORIGINAL ARTICLES
Submitted: 2019-08-15
Accepted: 2020-01-07
Published online: 2020-02-05

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.

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.

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Keywords

endoscopic retrograde cholangiopancreatography (ERCP), duodenal diverticula, 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

Vol 80, No 1 (2021)

Article type

Original article

Pages

106-113

Published online

2020-02-05

Page views

1562

Article views/downloads

1870

DOI

10.5603/FM.a2020.0012

Pubmed

32020575

Bibliographic record

Folia Morphol 2021;80(1):106-113.

Keywords

endoscopic retrograde cholangiopancreatography (ERCP)
duodenal diverticula
choledocholithiasis
major duodenal papilla

Authors

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

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