Document Detail


Acquired jejuno-ileal diverticular disease: a diagnostic and management challenge.
MedLine Citation:
PMID:  12887523     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Acquired jejuno-ileal diverticular disease (JID), a result of abnormalities in the smooth muscle or myenteric plexus of the small bowel, is less rare than was once believed. Approximately 1.3% of the population has JID, of whom approximately 10% present with life-threatening complications such as inflammation, perforation, bleeding, obstruction and malabsorption. Jejuno-ileal diverticular disease can be diagnostically and therapeutically challenging, and complications are often diagnosed only at laparotomy, while the best management is not agreed on in the literature. To increase the awareness of this condition and its complications, the Auckland Hospital's experience of JID was reviewed. METHODS: Retrospective review was carried out of the audit data and the discharge coding records of Auckland Public Hospital for the 5 year period leading to November 2001. RESULTS: Nine cases with a variety of presentations were found. Those cases are described and a literature review of JID is provided. CONCLUSION: Jejuno-ileal diverticular disease should be included in the differential diagnosis when dealing with surgical emergencies in the elderly presenting with features of bowel perforation, obstruction or bleeding.
Authors:
Falah El-Haddawi; Ian D Civil
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  73     ISSN:  1445-1433     ISO Abbreviation:  ANZ J Surg     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-30     Completed Date:  2004-02-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  584-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Auckland Hospital, Auckland, New Zealand. f.haddawi@xtra.co.nz
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Diverticulum / complications,  diagnosis*,  therapy*
Female
Gastrointestinal Hemorrhage / etiology,  surgery
Humans
Ileal Diseases / complications,  diagnosis*,  therapy*
Intestinal Diseases / etiology,  therapy
Jejunal Diseases / complications,  diagnosis*,  therapy*
Male
Middle Aged
Retrospective Studies
Comments/Corrections
Comment In:
ANZ J Surg. 2004 Jun;74(6):495-6   [PMID:  15191491 ]

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