Clinical analysis of 24 cases of juxtapapillary duodenal diverticula with stenosing papillo-odditis
- VernacularTitle:十二指肠乳头旁憩室伴缩窄性乳头炎24例临床分析
- Author:
Chunsheng LI
;
Zhaohui ZHANG
;
Nengwei ZHANG
- Publication Type:Journal Article
- Keywords:
Duodenal diseases;
Diverticulum;
Surgical procedures,operative
- From:
Chinese Journal of General Surgery
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective The aim of this study was to investigate the relationship between juxtapapillary duodenal diverticula (JDDs)and stenosing papillo odditis,and the diagnosis and treatment for this clinical entity.Methods Patients underwent upper gastrointestinal radiography,ERCP, and radionuclide scan. 18 cases were treated with operation,8 cases underwent sphincteroplasty,3 with combined diverticulo sphincteroplasty, 3 with choledochoduodenostomy or choledochojejunostomy,1 with gastrojejunostomy,1 case with diverticulectomy.Results Sphincteroplasty effects a good result for coexistant JDDs and stenosing papilloodditis. There were no recurrence and complication after the combined diverticulo sphincteroplasty. Conclusion There was a causal relation between JDDs and stenosing papillo odditis. Effective treatment was achieved by combining sphincteroplasty with diverticulo sphincteroplasty.