雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Clinical Significance of Diverticulum in the Duodenum, Especially in the Peri-Vaterian Region T. Takeuchi 1 , M. Miyaji 1 , K. Goto 1 , M. Ito 1 , N. Kato 2 11st Dept. of Internal Medicine, Nagoya City University Medical School pp.729-738
Published Date 1975/6/25
DOI https://doi.org/10.11477/mf.1403112372
  • Abstract
  • Look Inside
  • Cited by

 Clinical significance of the duodenal diverticulum, especially of Peri-Vaterian diverticulum has been studied in 4,494 clinical cases, 90 cases with confirmed cholelithiasis and 82 autopsied cases. Both in clinical and autopsild cases the rate of detection of diverticulum increased with advancing age. Its incidence in clinical cases was 6.2 per cent and in autopsied cases it was 37 per cent (diverticula more than 5 mm in diameter). Peri-Vaterian diverticulum is defined here in autopsied cases diverticulum in an area from the anal end of papillar protrusion, including that adjacent to it, up to the papilla minor, while in HDG (hypotonic duodenography) it is defined as diverticulum developing within less than 3 cm oral from the papilla major. Symptoms of Peri-Vaterian diverticulum over 10 mm in diameter in cases unaccompanied with other diseases in the digestive tract were non-specific. Slight pain or unpleasant sensation in the upper abdomen was observed in a relatively high percentage. The rate of concomitant biliary tract diseases in 84 cases of Peri-Vaterian diverticula exmined by HDG was 8 per cent. When pancreatic diseases were included it rose up to 11 per cent.

 Association of Peri-Vaterian diverticula with confirmed cases of gallstone was seen in 31 per cent. Choledocholithiasis associated with Peri-Vaterian diverticula more than 20 mm in diameter were seen in a higher rate than in cholelithiasis. In autopsied cases association of gall-sands and gall-stones was seen in 36 per cent in non-diverticular cases, 26 per cent in cases with diverticula and 28 per cent in cases with Peri-Vaterian diverticula (over 10 mm in diameter). X-ray study of Peri-Vaterian diverticula in autopsied cases showed that both bile and pancreatic ducts were dilated. With growth in dimensions of diverticulum it was the bile duct that tended to dilate in a higher degree than the pancreatic duct. Histological examination of 13 cases of Peri-Vaterian diverticula over 10 mm in diameter revealed that they were more often adjacent to the bile duct embedded within the pancreas than to the pancreatic duct.

 Influence of Peri-Vaterian diverticula on the neighboring organs has thus been studied with emphasis laid on their clinical importance.


Copyright © 1975, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有