Characterization of duodenal diverticula in patients with gallstones
Keywords:
Diverticulum, Small Intestine, Lithiasis.Abstract
Introduction: diseases of the small intestine are numerous, from the wide variety of infectious alterations to tumors or motility defects.
Objective: to characterize duodenal diverticula in patients with gallstones in the province of Pinar del Río.
Method: des- criptive, cross-sectional study in the period from January 2018 to December 2019. The universe consisted of 187 patients with gallstones diagnosed with duodenal diverticula, who attended the Provincial Gastroenterology Service of Pinar del Río. It worked with the entire universe. Variables such as age, sex, personal pathological history, clinical manifestations, radiological diagnosis and location of the papilla in relation to the position of the diverticulum were analyzed.
Results: the female sex predominated (68.9%) and those older than 75 years were the most affected age group (24.6%). Cholecystectomy was the most frequent personal pathological history (48.6%). 60.9% of the patients presented jaundice. The papilla was located inside the diverticula in 61% of the cases and 95 patients had residual bile duct stones.
Conclusions: duodenal diverticula in patients with gallstones were more frequent in females and in the age group older than 75 years. Cholecystectomy was the predominant antecedent and the most frequent clinical manifestation was jaundice. In relation to duodenal diverticula, the papilla was located within them.
References
2. Valdivielso Cortázar E, Madar- nás Alonso L, Ortiz Martín S. He- morragia diverticular duodenal, un reto endoscópico. Rev Esp En- ferm Dig [Internet]. 2017 [citado 16/01/2020];109(6):468-469. Disponible en: https://medes.com/publi-cation/124320
3. Gómez Zuleta MA, Viveros Carreño DA. Perforaciones en la CPRE: una complicación para tener en cuenta. Rev Col de Gast [Internet]. 2014 [ci- tado 16/01/2020]; 29(2): [Aprox 4p.]. Disponible en: http://www.redalyc. org/articulo.oa?id=337731614013
4. Aomatsu N, Nakamura M, Takeu- chi K, Nishii T, Kosaka K, Uchima Y, et al. The relationship between juxtapa- pilar duodenal diverticula and disor- ders of the biliopancreatic system: analysis of 350 patients. Gastrointest Endoscop [Internet]. 2001 [cita- do 16/01/2020]; 54(1):56-61. Disponible en: https://www.giejournal.org/ article/S0016-5107(01)28756-2/ fulltext
5. Mayo OM, Pacheco JM, Roldán S, Fernández JL. Divertículo duodenal simulando neoplasia quística de páncreas. Rev Chil Cir [Internet]. 2018 [citado 24/9/2021]; 70(2):164-167. Disponible en: https://www.scielo. cl/scielo.php?script=sci_arttext&pi- d=S0718-40262018000200164.
6. Estrada-Guerra Y, López-Moya YC, Rojas-Méndez Y. Divertículo duo- denal. Mediciego. [Internet]. 2019 [citado 24/9/2021]; 25(4):472-481. Disponible en: https://www.medi graphic.com/cgi-bin/new/resumen. cgi?IDARTICULO=96401
7. Kassir R, Boueil-Bourlier A, Baccot S, Abboud K, Dubois J, Adina Petcu C et al Jejuno-ileal diverticulitis: Etiopa- thogenicity, diagnosis and manage- ment. Int J Surg Case Rep. [Internet]. 2015 [citado 16/01/2020]; 10:151- 153. Disponible en: https://pubmed. ncbi.nlm.nih.gov/25841158/
8. Estepa Pérez J, Santana Pedraza T, Estepa Torres J. Colecistectomía convencional abierta en el trata- miento quirúrgico de la litiasis vesi- cular. Medisur [Internet]. 2015 Feb [citado 16/01/2020]; 13(1):16-24. Disponible en: http://scielo.sld.cu/ scielo.php?script=sci_arttext&pi- d=S1727-897X2015000100004&ln- g=pt
9. Machain Vega G, Yamanaka W, López G, Martinez Marcelo M, Miltos Marcelo G. Prevalencia de litiasis biliar en personas concu- rrentes al hospital de clínicas. Rev. Cir. Parag. [Internet]. 2017 [citado 16/01/2020];41(2):21-24.Disponible en: http://scielo.iics.una.py/ scielo.php?script=sci_arttext&pi- d=S2307-04202017000200021&ln- g=en
10. De-Benito-Sanz M, Cimavilla-Ro- mán M, Torres-Yustex R. Lesión de Dieulafoy en divertículo duodenal. Una causa infrecuente de HDA. Rev. esp. enferm. dig. [Internet]. 2018 [ci- tado 25/9/2021]; 110(4):266-267. Disponible en: http://scielo.isciii.es/ scielo.php?script=sci_arttext&pi- d=S113001082018000400020&ln- g=es.
11. Relea-Pérez Lucía, Magaz-Mar- tínez Marta, Pons-Renedo Fernan- do. Massive upper gastrointestinal bleeding due to a Dieulafoy's lesion inside a duodenal diverticulum. Rev. esp. enferm. dig. [Internet]. 2017 Dic [citado 25/9/2021]; 109(12):876- 877. Disponible en: http://scielo.isciii. es/scielo.php?script=sci_arttext&pi- d=S1130-01082017001200016&lng=es
12. Ramos Pachón CM, Del Valle Llufrio P. Divertículos periampulares diagnosticados durante la Colangio- pancreatografía Retrógrada Endos- cópica. Rev Med Electrón [Internet]. 2014 [citado 16/01/2020]; 36(3): [ aprox.5p.].Disponible en: http://www. revmatanzas.sld.cu/revista%20medica/ano%202014/vol3%202014/ tema03.htm
13. Gavilán López A, García Gavilán EA, Gavilán López MA. Litiasis biliar (colelitiasis).Rev Electrónica de Por- tales Médicos [Internet]. 2017 [cita- do 16/01/2020]; XII. Disponible en: https://www.revista-portalesmedi- cos.com/revista-medica/litiasis-biliar-colelitiasis
14. Mederos Curbelo ON, Barre- ra Ortega JC, García Sierra JC, del Campo Abad R. Vigencia de la cirugía biliar abierta. Revista Cu- bana de Cirugía [Internet]. 2014 [citado 16/01/2020]; 53(1):84-89. Disponible en: http://scielo.sld.cu/ scielo.php?script=sci_arttext&pi- d=S0034-74932014000100010&l- ng=es
15. Gorgoso-Vázquez A, Capo- te-Guerrero G, Ricardo-Martínez D, Casado-Méndez P, Fernández-Gó- mez A. Factores que al ingreso influyen en la evolución de pa- cientes con diagnóstico de pan- creatitis aguda. Revista Cubana de Cirugía [Internet]. 2020 [cita- do 25/9/2021]; 59(1): e886. Dis- ponible en: http://scielo.sld.cu/ scielo.php?script=sci_arttext&pi- d=S0034-74932020000100004&l- ng=es
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