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Periampullary Diverticulectomy

  • Jameson L. Chassin

Abstract

Although the duodenal diverticulum, which occurs in about 1 % of all gastrointestinal X-ray studies, is not an uncommon condition, Whitcomb reported that only one serious complication requiring surgery occurred in a series of 1,064 patients that he studied. More than two-thirds of all duodenal diverticula occur within 2 cm of Vater’s ampulla (Eggert, Teichmann, and Wittmann; Thompson). While the pseudodiverticulum that results from the healing of a duodenal ulcer contains a seromuscular coat as well as mucosa, the periampullary diverticulum, being a true diverticulum, has a sac composed only of mucosa and submucosa. It ranges in size between 0.5 and 6.0 cm, in most cases. Diverticula that have a narrow entrance into the duodenum are more likely to produce symptoms than are wide-necked lesions. In the absence of a muscular coat the diverticulum is unable to expel food particles.

Keywords

Acute Pancreatitis Duodenal Switch Duodenal Wall Biliary Tract Disease Duodenal Diverticulum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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