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Surgical Management of Pancreaticobiliary Disease associated with Juxtapapillary Duodenal Diverticula: Case Series and Review of the Literature

  • Case Report
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

Abstract

Introduction

Juxtapapillary duodenal diverticula (DD), although usually asymptomatic, are occasionally associated with pancreaticobiliary conditions such as recurrent bile duct stones, cholangitis, and pancreatitis.

Materials and methods

An unusual case of DD associated with a dorsal duct stricture in a patient with recurrent pancreatitis and pancreas divisum is presented along with three additional instances of surgically treated DD and a review of the literature.

Results

The role of surgical intervention depends upon the specific nature of the presentation and the anatomical relationship of the diverticulum to the ampullary and pancreaticobiliary ductal system.

Conclusion

Operations that divert bile and the food stream from DD are preferred over diverticulectomy.

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Authors and Affiliations

  1. Department of Surgery, University of Chicago Medical Center, 5841 South Maryland Avenue, MC 5029, Chicago, IL, 60637, USA

    Chad M. Teven, Eric Grossman, Kevin K. Roggin & Jeffrey B. Matthews

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  1. Chad M. Teven
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  2. Eric Grossman
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  3. Kevin K. Roggin
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  4. Jeffrey B. Matthews
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Correspondence to Jeffrey B. Matthews.

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Teven, C.M., Grossman, E., Roggin, K.K. et al. Surgical Management of Pancreaticobiliary Disease associated with Juxtapapillary Duodenal Diverticula: Case Series and Review of the Literature. J Gastrointest Surg 16, 1436–1441 (2012). https://doi.org/10.1007/s11605-012-1856-z

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  • DOI: https://doi.org/10.1007/s11605-012-1856-z

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