Korean J Gastrointest Endosc.  2000 Mar;20(3):203-206.

A Case of Endoscopic Therapy of a Bleeding Duodenal Diverticulum

• Jung IS
• Kim EJ
• Chung IK
• Park SH
• Kim HS
• Lee MH
• Kim SJ

Abstract

Duodenal divertula are relatively frequent findings in the adult gastrointestinal tract. The majority of them are asymptomatic, but vague gastrointestinal complaints have often been attributed to these lesions. These diverticula occasionally result in the obstruction of the biliary and pancreatic ducts, which leads to jaundice and pancreatitis. Other complications such as hemorrhage, perforation, sepsis, and death can occur. With the advent of therapeutic endoscopy, the diagnosis and primary treatment of duodenal diverticula associated with bleeding has changed dramatically since its first reported occurrence. Effectiveness of therapeutic endoscopy is very high in patients with diverticular bleeding in the medial aspect of sencond portion of the duodenum because of its high operative mortality. A cases of a patient suffering from gastrointestinal bleeding in the duodenal diverticulum who was diagnosed and managed by endoscopy alone is herein reported with review of relevant literature.

Keyword

Duodenal diverticulum; Bleeding; Endoscopic treatment

MeSH Terms

Adult
Diagnosis
Diverticulum*
Duodenum
Endoscopy
Gastrointestinal Tract
Hemorrhage*
Humans
Jaundice
Mortality
Pancreatic Ducts
Pancreatitis
Sepsis