[Juxtapapillary duodenal diverticula and cholelithiasis]

Area of Science:

• Gastroenterology
• Diagnostic Imaging
• Biliary System Studies

Context:

• Juxtapapillary duodenal diverticula (JDD) are uncommon findings during upper gastrointestinal examinations.
• A significant percentage of JDD cases are associated with complications, impacting patient management.
• Cholelithiasis is the most frequent complication observed in patients with JDD.

Purpose:

• To investigate the incidence and complications of juxtapapillary duodenal diverticula.
• To evaluate the role of ERCP and scintigraphy in assessing bile-flow disturbances in JDD patients.
• To establish recommendations for the management of JDD, considering associated complications.

Summary:

• Upper gastrointestinal barium meal X-ray identified 113 cases of JDD among 5573 examinations.
• Complications were present in 79% of JDD cases, with cholelithiasis being the most common (29.2%).
• ERCP and scintigraphy revealed bile-flow delays in JDD patients, both with and without cholelithiasis, highlighting the importance of bile-flow assessment.

Impact:

• Findings emphasize the need for thorough examination for complications when JDD is diagnosed.
• Simultaneous treatment of JDD and its complications is recommended.
• Bile-flow examination results should guide surgical indications for JDD presenting without other complications.