Gastric Diverticula: A Review and Report of Two Cases

Gastric diverticula represent the rarest of gastrointestinal diverticula. While similar to duodenal, jejunal and colonic diverticula, gastric diverticula are found incidentally upon upper endoscopy and are mostly asymptomatic. However, larger diverticula can lead to symptoms such as upper abdominal pain, nausea, emesis, and dyspepsia. Some patients may present with dramatic presentations including ulceration, hemorrhage, or perforation. Clinicians should be aware that diagnostic imaging may not always detect the presence of gastric diverticula. Upper endoscopy is recommended for diagnosing gastric diverticula as it readily confirms the size and location of the lesion. Conservative treatment involves the use of antacids and may provide temporary relief. Surgical resection is recommended for treatment resistant gastric diverticula, or cases complicated by hemorrhage, perforation, or malignancy. Herein, we present two patients with antral gastric diverticula, and review the literature.