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PRIMARY DUODENAL DIVERTICULA AND THEIR PROBLEMS
Author(s) -
Lane Daniel
Publication year - 1960
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1960.tb03086.x
Subject(s) - medicine , diverticulum (mollusc) , incidence (geometry) , cholecystectomy , surgery , general surgery , pancreatitis , pathological , physics , optics
Summary A series of 28 cases of duodenal diverticula requiring admission to hospital has beenreviewed from various sources in Brisbane. Eight of these cases were subjected to excision of the diverticula with a mortality of one due to pancreatitis. Five cases have been selected from private records to illustrate some of the problemsof duodenal diverticula. There are many pitfalls involved in both diagnosis and treatment. The incidence of bleeding in this series was surprisingly high. It has been difficult to ascertain the effect of excision of the uncomplicated diverticulum. Many of these patients have proved very vaguein their symptomatology. Cases for operation must be selected with great care. Many barium meals may be required to establish the correct diagnosis. Cholecystectomy should be performed only if the gall‐bladder is the seat of some pathological process. It was performed much too readily inthis series. Operations on duodenal diverticula are rarely justified unless complications arise. It is important to assess not only the type of diverticulum but also the type of patient in whom it is found.