Review of duodenal diverticula.
Review of duodenal diverticula.
复制标题
十二指肠憩室的回顾。
DOI：
--
复制
发表时间：
1991
影响因子：
9.8
通讯作者：
H. Taubin
中科院分区：
文献类型：
--
作者：
Afridi Sa;C. Fichtenbaum;H. Taubin
十二指肠憩室发生在2-5%的上消化道钡剂检查的患者中。十二指肠憩室分为腔内型和腔外型。通常临床意义不大，但可引起梗阻、胆石症、上行性胆管炎、溃疡和出血，并可引起胆道梗阻。据报道，40%的腔内十二指肠憩室患者伴有相关的肠道畸形。诊断是由内窥镜检查或上消化道系列。在有症状的病例中，腔外憩室适合手术，而腔内憩室可以手术或内窥镜切除。在任何介入治疗之前，应进行胆道系统成像。
Duodenal diverticula occur in 2-5% of patients undergoing barium studies of the upper intestinal tract. Duodenal diverticula are classified into two types: extraluminal or intraluminal. Usually of little clinical significance, they can cause obstruction, cholelithiasis, ascending cholangitis, ulcers, and hemorrhage, and may perforate. Associated intestinal tract malformations have been reported in 40% of patients with intraluminal duodenal diverticula. Diagnosis is made by endoscopy or upper gastrointestinal series. In symptomatic cases, extraluminal diverticula are amenable to surgery, whereas intraluminal diverticula may be either surgically or endoscopically resected. Imaging of the biliary tree should be performed prior to any intervention.