A periampullary duodenal diverticula in patient with choledocholithiasis – single endoscopic center experience

Journal Title: Polish Journal of Surgery - Year 2016, Vol 88, Issue 6

Abstract

The reported prevalence of periampullary duodenal diverticula varies between 9 and 32.8%. The aim of the study was to evaluate the prevalence of periampullary diverticula in the studied population and establish whether their presence influence the risk of choledocholithiasis and the risk of Endoscopic Retrograde Cholangio Pancreatography (ERCP) related complications. Material and methods. The study group of 3788 patients who underwent ERCP between 1996 and 2016at the 2nd Department of General Surgery Jagiellonian University Medical College in Kraków were analyzed. The group comprised of 2464 women (mean age 61.7 years) and 1324 men (mean age 61.8 years). The patients were divided into two groups. Group A included patients in whom there were no periampullary diverticula detected. Group B included patients in whom the opening of the bile duct was in the vicinity of a duodenal diverticulum. Results. There were 3332 patients included in group A (2154 women and 1178 men) and 456 patients in group B (310 women and 146 men). The prevalence of periampullary duodenal diverticula in the analyzed group was 12.8%. The presence of stones or biliary sludge was diagnosed in 1542 patients (47.6%) in group A and 290 patients (68.1%) in group B. Recurrence of choledocholithiasis occurred in 4.5% of patients (70/1542) in group A and 10.3% of patients (30/290) in group B. Complications occurred in a total of 76 patients in group A (2.3%) and 22 patients in group B (4.8%). Conclusions. The presence of choledocholithiasis and the risk of ERCP related complications are significantly higher in the group with duodenal diverticula.

Authors and Affiliations

Piotr Major, Marcin Dembiński, Marek Winiarski, Michał Pędziwiatr, Mateusz Rubinkiewicz, Maciej Stanek, Jadwiga Dworak, Magdalena Pisarska, Kazimierz Rembiasz, Andrzej Budzyński

Keywords

Related Articles

REPRINTED WITH PERMISSION OF EDITOR-IN-CHIEF OF ANNALS OF SURGERY: Annals of Surgery: Vol. 266, nr 5, November 2017; 703 - 705: Modern Surgeons: Still Masters of Their Trade or Just Operators of Medical Equipment?

My surgical education began at a time when Poland formed part of the communist bloc and was isolated from the world, or in today’s Terms – it remained behind the Iron Curtain. This was true of all areas of life, includin...

Anterior overlapping sphincteroplasty – who benefits from the surgery?

The aim of the study was to identify clinical factors which could influence the results of overlapping sphincteroplasty. Material and methods. Between 2003-2009 the group of 78 incontinent patients (59 women, mean age of...

Neutrophil-lymphocyte ratio and creatinine reduction ratio predict good early graft function among adult cadaveric donor renal transplant recipients. Single institution series

Background Delayed graft function (DGF) is a common complication following kidney transplantation and is associated with ischemia-reperfusion injury (IRI). Lymphocytes contribute to the pathogenesis of IRI and ischemia-r...

Laparoscopic cholecystectomy in the treatment of gallbladder polypoid lesions – 15 years of experience

Due to the constant increase of public health awareness and widespread “cancerophobia”, the progressively larger number of incidentally diagnosed gall-bladder polyps became the source of anxiety, which leads patients and...

Download PDF file
  • EP ID EP187409
  • DOI -
  • Views 137
  • Downloads 0

How To Cite

Piotr Major, Marcin Dembiński, Marek Winiarski, Michał Pędziwiatr, Mateusz Rubinkiewicz, Maciej Stanek, Jadwiga Dworak, Magdalena Pisarska, Kazimierz Rembiasz, Andrzej Budzyński (2016). A periampullary duodenal diverticula in patient with choledocholithiasis – single endoscopic center experience. Polish Journal of Surgery, 88(6), 576-586. https://europub.co.uk/articles/-A-187409